Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2024-04-18-52

Project Information

Project IdentifiersProject ID: 994944
DEA: 081J2304
EFIS: 0818000002
DIST-CO-RTE-PM08-RIV-60-R1.0/12.0
Award Date09/20/2023
Closeout DateNot set
Work DescriptionRAMP METERING SYSTEM, HMA (TYPE A), RDWY EXC, MOD SIGNAL & LTG SYSTEMS
Location DescriptionRIVERSIDE COUNTY IN AND NEAR JURUPA VALLEY AND RIVERSIDE AT VARIOUS LOCATIONS FROM WINEVILLE ROAD UNDERCROSSING TO 0.2 MILE WEST OF ROUTE 60/91 SEPARATION
QA Service Level1 (Verified on 07/28/2023)

Sample Information

Sample Taken Date04/18/2024 Sample Unique Key52
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 testing05/03/2024
Sample typeDepartment Acceptance A brief description of the sample3/4" HMA-A-SP R15
The quantity of what the sample constitutes2 BOXES OF HMA, 1 BAG OF RAP From where was the sample collectedManufacturer
First name of sampler or witnessed byPLANT QC Last name of sampler or witnessed byPlant QC
Title of sampler Telephone number of sampler
Laboratory sample identification0220A-24 Linked DIME Sample ID
The fabricator/manufacturer/facility nameAll American Asphalt Corona 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 TypeType A HMA
HMA Grading3/4 inch Lot number1
Sublot number4 HMA Mix Number105927

Submitted Tests

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