Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2023-08-07-61

Project Information

Project IdentifiersProject ID: 995022
DEA: 09392104
EFIS: 0922000034
DIST-CO-RTE-PM09--58-R107.7/R118.0
Award Date04/12/2023
Closeout Date11/01/2023
Work DescriptionPlace RHMA-G (Bonded Wearing Course) over existing pavement.
Location DescriptionIN KERN COUNTY ABOUT 17 MILES EAST OF TEHACHAPI FROM 0.1 MILE EAST OF CACHE CREEK BRIDGE TO 1.8 MILES EAST OF BUSINESS ROUTE 58 OVERCROSSING.
QA Service Level1 (Verified on 07/31/2023)

Sample Information

Sample Taken Date08/07/2023 Sample Unique Key61
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 testing08/24/2023
Sample typeProduction Start-Up A brief description of the sample1/2" RHMA-G 1.0% LSM
The quantity of what the sample constitutes24 BOXES OF RHMA From where was the sample collectedManufacturer
First name of sampler or witnessed bySTUWART Last name of sampler or witnessed byAhumada
Title of sampler Telephone number of sampler
Laboratory sample identification0426G-23 Linked DIME Sample ID
The fabricator/manufacturer/facility nameGrifith-Edmonsten-Lebec Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeHot Mix Asphalt HMA TypeRHMA-G
HMA Grading1/2 inch Lot number
Sublot number HMA Mix NumberGRF20G312RHMALSM

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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