Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2024-05-22-63
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 994191 DEA: 081G8304 EFIS: 0816000079 |
|---|---|
| DIST-CO-RTE-PM | 08-SBD-40-R100.8/R101.8 |
| Award Date | 02/07/2023 |
| Closeout Date | 08/29/2025 |
| Work Description | HMA, STRUCTURAL CONC, BAR REINFORCING STEEL, CRSP & IMPORTED BORROW. |
| Location Description | SAN BERNARDINO COUNTY AT ESSEX FROM 1.1 MILES EAST OF ESSEX ROAD OVERCROSSING TO 0.5 MILE EAST OF HALFWAY HILLS WASH BRIDGE |
| QA Service Level | 1 (Verified on 03/30/2023) |
Sample Information
| Sample Taken Date | 05/22/2024 | Sample Unique Key | 63 |
|---|---|---|---|
| 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 | 05/28/2024 |
| Sample type | Acceptance | A brief description of the sample | 1" HMA-A-SP R25 1% LSM |
| The quantity of what the sample constitutes | 2 boxes of hma, 1 qt of oil | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | FERNANDO | Last name of sampler or witnessed by | CARRANZA |
| Title of sampler | QA | Telephone number of sampler | |
| Laboratory sample identification | 0264A-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 | Bid Item | Not set |
Material Information
| Material Type | Hot Mix Asphalt | HMA Type | Type A HMA |
|---|---|---|---|
| HMA Grading | 1 inch | Lot number | 2 |
| Sublot number | 15 | HMA Mix Number | 300222 CPC R25 |
| 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 |
|---|---|---|---|
| No results found. | |||