Sample Record
Owner Lab
- CT D09 - Bishop Field Laboratory
DIME Sample ID 2023-09-14-23
Sample is locked from editing. info
Project Information
| Project Identifiers | Project ID: 213404 DEA: 120Q3404 EFIS: 1216000130 Permit Numbers: 1217NMC0723 1218NDP0423 1218NRT0056 |
|---|---|
| DIST-CO-RTE-PM | 12-ORA-241-13.1/16.7 |
| Award Date | 01/03/2018 |
| Closeout Date | 08/19/2021 |
| Work Description | Construct the Oso PWY bridge and extend SR-241 to connect to Los Patrones PKW. in the County of Orange. Two lanes will be constructed of HMA in each direction on SR-241. Oso Parkway N/B on-ramp and S/B off-ramp gores will be modified to connect to new mainline pavement. improve new overhead signs, |
| Location Description | OSO PARKWAY INTERCHANGE, COUNTY OF ORANGE |
| QA Service Level | 2 (Verified on 06/05/2018) |
Sample Information
| Sample Taken Date | 09/14/2023 | Sample Unique Key | 23 |
|---|---|---|---|
| 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 | 09/15/2023 |
| Sample type | Department Acceptance | A brief description of the sample | 3/4" HMA-A-SP WMA R25 |
| The quantity of what the sample constitutes | 8 Boxes of HMA | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Jerid | Last name of sampler or witnessed by | Kupelian |
| Title of sampler | Consultant | Telephone number of sampler | |
| Laboratory sample identification | HMA-R10 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Fisher Sand & Gravel | 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 | Type A HMA |
|---|---|---|---|
| HMA Grading | 3/4 inch | Lot number | |
| 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: 2023-09-14-23-1 AASHTO T209-22 (Verified)
DIME Test ID: 2023-09-14-23-2 AASHTO T308-10 (Verified)
DIME Test ID: 2023-09-14-23-3 AASHTO T275-07r12 (Verified)
DIME Test ID: 2023-09-14-23-4 AASHTO T269-14 (Verified)
