Sample Record
Owner Lab
- CT D12 - Huntington Beach Field Laboratory
DIME Sample ID 2023-09-13-25
Project Information
| Project Identifiers | Project ID: 994621 DEA: 120T6404 EFIS: 1222000074 |
|---|---|
| DIST-CO-RTE-PM | 12-ORA-72-11.4/12.0 |
| Award Date | 04/13/2023 |
| Closeout Date | Not set |
| Work Description | PLACE RHMA-G AND MODIFY SIGNAL AND LIGHTING SYSTEM. |
| Location Description | ORANGE COUNTY IN LA HABRA FROM JUNCTION 39 AT WHITTIER-BEACH TO VALLEY HOME AVENUE |
| QA Service Level | 1 (Verified on 07/07/2023) |
Sample Information
| Sample Taken Date | 09/13/2023 | Sample Unique Key | 25 |
|---|---|---|---|
| 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 | 09/14/2023 |
| Sample type | Quality Assurance | A brief description of the sample | 1/2" RHMA-G |
| The quantity of what the sample constitutes | 1100 TONS | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | JIMMY CUONG | Last name of sampler or witnessed by | PHAM |
| Title of sampler | Lab Technician | Telephone number of sampler | 9492798487 |
| Laboratory sample identification | 23-0949 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | VULCAN - IRWINDALE | Transportation Laboratory (TL) Number | |
| 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 | RHMA-G |
|---|---|---|---|
| HMA Grading | 1/2 inch | Lot number | |
| Sublot number | HMA Mix Number | 326120M | |
| 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
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Date Added | Verified? | Release Date | Test Comments | Privacy Level | Actions |
|---|---|---|---|---|---|---|---|---|---|
| No results found. | |||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| 23-0949-HMA-326120M-12-0T6404 | 09/15/2023 | Info |
