Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2024-07-08-19
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 214345 DEA: 120P94U4 EFIS: 1217000076 |
|---|---|
| DIST-CO-RTE-PM | 12-ORA-133-3.2/R4.1 |
| Award Date | 02/23/2021 |
| Closeout Date | Not set |
| Work Description | ROADWAY WIDENING, RESTRIPING AND DRAINAGE WORK. |
| Location Description | ORANGE COUNTY IN THE CITY OF LAGUNA BEACH FROM 0.2 MILE SOUTH OF EL TORO ROAD TO ROUTE 73/133 SEPARATION |
| QA Service Level | 1 (Verified on 12/10/2020) |
Sample Information
| Sample Taken Date | 07/08/2024 | Sample Unique Key | 19 |
|---|---|---|---|
| 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 | 07/11/2024 |
| Sample type | Production Start-Up | A brief description of the sample | 3/4" HMA-A-SP-R15, .75 LAS |
| The quantity of what the sample constitutes | 20 boxes of HMA, 4 qts of PG64-16, 4 bags of combined agg, 2 bags of RAP | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | (Plant QC Rep) | Last name of sampler or witnessed by | Plant QC |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | 0320A-24 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Vulcan Irwindale | 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 | 220831M IRW LTR |
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. | |||