Sample Record
Owner Lab
- CT D07 - Materials Field Laboratory, Unit 1953
DIME Sample ID 2023-03-25-18
Project Information
| Project Identifiers | Project ID: 215220 DEA: 07210624 EFIS: 0719000068 |
|---|---|
| DIST-CO-RTE-PM | 07-LA,SBD-71-1.8/R4.7&R0.0/R0.2 |
| Award Date | 02/05/2021 |
| Closeout Date | Not set |
| Work Description | PLACE STRUCTURE CONCRETE RETAINING WALLS & BOX CULVERT AND PLACE JPCP. |
| Location Description | IN LOS ANGELES AND SAN BERNARDINO COUNTIES IN POMONA AND CHINO HILLS FROM 0.2 MILE SOUTH OF MISSION BOULEVARD OVERCROSSING TO 0.2 MILE OF SAN BERNARDINO COUNTY LINE. |
| QA Service Level | 1 (Verified on 03/24/2021) |
Sample Information
| Sample Taken Date | 03/25/2023 | Sample Unique Key | 18 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | Yes | Date that the sample was received by the laboratory/organization performing the testing | 04/04/2023 |
| Sample type | Department Acceptance | A brief description of the sample | 3/4" hma - a220831 sva sjr |
| The quantity of what the sample constitutes | 750 Tons | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | RMA QC | Last name of sampler or witnessed by | RMA QC |
| Title of sampler | QC Tech | Telephone number of sampler | |
| Laboratory sample identification | 23-045 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | AAA Corona | Transportation Laboratory (TL) Number | na |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Bid Item | Not set |
Material Information
| Material Type | Hot Mix Asphalt | HMA Type | Type A HMA |
|---|---|---|---|
| HMA Grading | 3/4 inch | Lot number | 1 |
| Sublot number | HMA Mix Number | ||
| Binder content (%) | Not set | Virgin binder PG | Not set |
| Design binder PG | Not set | Binder Supplier | Not set |
| RAP content (%) | Not set | WMA Additives | Not set |
| Antistrip type | Not set |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2023-03-25-18-1 AASHTO T275-07r12 (Verified)
