Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2024-06-10-29
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 995059 DEA: 081G6404 EFIS: 0816000046 |
|---|---|
| DIST-CO-RTE-PM | 08-SBD-395-R4.0/49.0 |
| Award Date | 10/25/2023 |
| Closeout Date | Not set |
| Work Description | REPLACE ASPHALT CONCRETE SURFACING, COLD PLANE AC PVMT AND RHMA. |
| Location Description | SAN BERNARDINO COUNTY AT VARIOUS LOCATIONS FROM ROUTE 15/395 SEPARATION TO 3.1 MILES NORTH OF ROUTE 58/395 SEPARATION |
| QA Service Level | 1 (Verified on 08/15/2023) |
Sample Information
| Sample Taken Date | 06/10/2024 | Sample Unique Key | 29 |
|---|---|---|---|
| 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 | 06/11/2024 |
| Sample type | Production Start-Up | A brief description of the sample | 3/4" HMA-A-SP R15, 1.0%LSM |
| The quantity of what the sample constitutes | 24 BOXES OF HMA, 2 QTS OIL, 4 BAGS UNTREATED AGGS | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | BENJAMIN | Last name of sampler or witnessed by | BENJAMIN |
| Title of sampler | TECH | Telephone number of sampler | |
| Laboratory sample identification | 0286A-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 | Type A HMA |
|---|---|---|---|
| HMA Grading | 3/4 inch | Lot number | |
| Sublot number | HMA Mix Number | 300154 R15 LSM |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||