Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2023-07-25-27
Project Information
Project Identifiers | Project ID: 4844 DEA: 080C8504 MINOR: 08A1357 |
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DIST-CO-RTE-PM | 08-SBD-10-32.4/R35.2 |
Award Date | Not set |
Closeout Date | Not set |
Work Description | Not set |
Location Description | Not set |
QA Service Level | 2 (Verified on 06/23/2021) |
Sample Information
Sample Taken Date | 07/25/2023 | Sample Unique Key | 27 |
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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 | 07/26/2023 |
Sample type | Department Acceptance | A brief description of the sample | 3/4" HMA-A-SP-R25 0.5% LAS |
The quantity of what the sample constitutes | 2 BOXES OF HMA | From where was the sample collected | Manufacturer |
First name of sampler or witnessed by | Larry | Last name of sampler or witnessed by | TE |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | 0388A-23 | Linked DIME Sample ID | |
The fabricator/manufacturer/facility name | California Commercial Asphalt - Lake Elsinore | 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 | 53417615FR |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2023-07-25-27-1 AASHTO T308-10 (Verified)