Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2024-06-19-101
Sample Details QR Code
Scan this code to open this Sample Details view on another device.
Project Information
| Project Identifiers | Project ID: 995169 DEA: 081K4024 EFIS: 0820000074 COOP: 081701 |
|---|---|
| DIST-CO-RTE-PM | 08-RIV-I-15-3.9 |
| Award Date | 12/12/2023 |
| Closeout Date | Not set |
| Work Description | Construction of 12 ft wide aux lane with 10 ft right shoulder on northbound I-15. Embankment excavation and construction of retaining wall in front of Santiago Road overcrossing abutment. |
| Location Description | NB I-15 between Temecula Parkway and Rancho California Road |
| QA Service Level | 2 (Verified on 09/21/2023) |
Sample Information
| Sample Taken Date | 06/19/2024 | Sample Unique Key | 101 |
|---|---|---|---|
| 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 | 06/26/2024 |
| Sample type | Verification | A brief description of the sample | 3/4" HMA-A-SP 0.25% EVO |
| The quantity of what the sample constitutes | 24 BOXES OF HMA, 4 QTS OF PG64-16, 3 BAGS OF COMBINED AGG, 2 BAGS OF RAP | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Jacob | Last name of sampler or witnessed by | MCPHERSON |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | 0306A-24 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | R.J. NOBLE - CORONA | 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 | 3/4 inch | Lot number | |
| Sublot number | HMA Mix Number | 36R2503SPWEC | |
| 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. | |||