Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2023-05-31-11

Project Information

Project IdentifiersProject ID: 214486
DEA: 080K1224
EFIS: 0815000244
DIST-CO-RTE-PM08-SBD-15-R28.6/37.5
Award Date09/24/2021
Closeout Date11/03/2025
Work DescriptionREHBILIATATE EXISTING MAINLINE AND RAMP PAVEMENT
Location DescriptionSAN BERNARDINO COUNTY IN HESPERIA AND VICTORVILLE FROM OAK HILL ROAD OVERCROSSING TO 0.1 MILE SOUTH OF BEAR VALLEY ROAD OVERCROSSING
QA Service Level1 (Verified on 06/23/2021)

Sample Information

Sample Taken Date05/31/2023 Sample Unique Key11
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 testing06/01/2023
Sample typeDepartment Acceptance A brief description of the sample1" HMA-A-SP R25 1% LSM
The quantity of what the sample constitutes2 boxes of HMA 102.74 tons out From where was the sample collectedManufacturer
First name of sampler or witnessed byBlue Diamond Last name of sampler or witnessed byQC
Title of sampler Telephone number of sampler
Laboratory sample identification0288A-23 Linked DIME Sample ID
The fabricator/manufacturer/facility nameBlue Diamond-Victorville Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name Bid ItemNot set

Material Information

Material TypeHot Mix Asphalt HMA TypeType A HMA
HMA Grading1 inch Lot number2
Sublot number150 HMA Mix Number300222 WM R25
Binder content (%)Not set Virgin binder PGNot set
Design binder PGNot set Binder SupplierNot set
RAP content (%)Not set WMA AdditivesNot set
Antistrip typeNot set

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
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