Sample Record

Owner Lab

  • CT D12 - Huntington Beach Field Laboratory

DIME Sample ID 2023-11-12-4

Project Information

Project IdentifiersProject ID: 994633
DEA: 120T6604
EFIS: 1222000076
DIST-CO-RTE-PM12-ORA-74-0.0/5.3
Award Date03/22/2023
Closeout Date07/01/2024
Work DescriptionCold plane AC pavement and place RHMA
Location DescriptionOrange County in and near San Juan Capistrano from Route 5/74 Separation to Gibby Road.
QA Service Level1 (Verified on 07/07/2023)

Sample Information

Sample Taken Date11/12/2023 Sample Unique Key4
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 testing11/12/2023
Sample typeQuality Assurance A brief description of the sample3/4 RHMAG
The quantity of what the sample constitutesHMA CORES From where was the sample collectedJob Site
First name of sampler or witnessed bySequoia Last name of sampler or witnessed byConsultants
Title of sampler Telephone number of sampler
Laboratory sample identification23-1256 Linked DIME Sample ID
The fabricator/manufacturer/facility nameMartin Mariett(CCA) Lake Elsinore 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 TypeRHMA-G
HMA Grading3/4 inch Lot number
Sublot number HMA Mix Number
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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