Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2024-05-03-25
Project Information
Project Identifiers | Project ID: 994600 DEA: 081N1704 EFIS: 0822000107 |
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DIST-CO-RTE-PM | 08-SBD-15-R108.0/R115.0 |
Award Date | 05/19/2023 |
Closeout Date | 08/29/2024 |
Work Description | RHMA, HIGH DENSITY POLYURETHANE INJECTION & COLD PLANE AC PAVEMENT. |
Location Description | SAN BERNARDINO COUNTY NEAR BARSTOW FROM 0.6 MILE NORTH OF CLYDE V. KANE REST AREA TO 0.3 MILE SOUTH OF BIRD DITCH BRIDGE |
QA Service Level | 1 (Verified on 07/19/2023) |
Sample Information
Sample Taken Date | 05/03/2024 | Sample Unique Key | 25 |
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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 | 05/03/2024 |
Sample type | Department Acceptance | A brief description of the sample | 3/4" RHMA-S-SP, 1.0%LSM |
The quantity of what the sample constitutes | 2 BOXES OF RHMA-G, 1QT OF PG64-16, 1 QT OF BLENDED IL | From where was the sample collected | Manufacturer |
First name of sampler or witnessed by | FRNISCO | Last name of sampler or witnessed by | RUVALCABA |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | 02224G-24 | Linked DIME Sample ID | |
The fabricator/manufacturer/facility name | Blue Diamond Materials-Victorville | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name |
Material Information
Material Type | Hot Mix Asphalt | HMA Type | RHMA-G |
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HMA Grading | 3/4 inch | Lot number | 1 |
Sublot number | 19 | HMA Mix Number | 300072 LSM |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2024-05-03-25-1 AASHTO T308-10 (Verified)