Sample Record
Owner Lab
- CT D12 - Huntington Beach Field Laboratory
DIME Sample ID 2023-02-17-24
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 215302 DEA: 120M82A4 EFIS: 1219000036 |
|---|---|
| DIST-CO-RTE-PM | 12-ORA-1-7.9/10.5, 10.3/10.5 |
| Award Date | Not set |
| Closeout Date | 07/25/2023 |
| Work Description | A NEW PRIME CONTRACTOR HAS BEEN ASSIGNED. THE NEW CONTRACT NUMBER IS 12-0M82C4. |
| Location Description | ORANGE COUNTY IN LAGUNA BEACH FROM LEDROIT STREET TO RUBY STREET |
| QA Service Level | 1 (Verified on 12/14/2020) |
Sample Information
| Sample Taken Date | 02/17/2023 | Sample Unique Key | 24 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | No | Date that the sample was received by the laboratory/organization performing the testing | 02/17/2023 |
| Sample type | Department Acceptance | A brief description of the sample | 3/4 HMA-A |
| The quantity of what the sample constitutes | 16 boxes of 3/4 HMA-A, 4 bags of agg, 1 bag of RAP, 3 quartz of binder | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | David | Last name of sampler or witnessed by | Nguyen |
| Title of sampler | TET | Telephone number of sampler | |
| Laboratory sample identification | 23-0143 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Blue Diamond Materials - Irwindale | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Hot Mix Asphalt | HMA Type | Type A HMA |
|---|---|---|---|
| HMA Grading | 3/4 inch | Lot number | |
| Sublot number | HMA Mix Number |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||