Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2024-07-25-15
Project Information
| Project Identifiers | Project ID: 995060 DEA: 081J2604 EFIS: 0818000012 |
|---|---|
| DIST-CO-RTE-PM | 08-RIV-215-R13.5/R19.5 |
| Award Date | 01/10/2024 |
| Closeout Date | Not set |
| Work Description | RHMA, REPLACE AC SURFACING, ROCK BLANKET, AND COMPOST. |
| Location Description | RIVERSIDE COUNTY IN MURRIETA AND MENIFEE FROM 1.0 MILE NORTH OF CLINTON KEITH ROAD TO 1.0 MILE NORTH OF NEWPORT ROAD |
| QA Service Level | 1 (Verified on 08/15/2023) |
Sample Information
| Sample Taken Date | 07/25/2024 | Sample Unique Key | 15 |
|---|---|---|---|
| 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 | 07/26/2024 |
| Sample type | Verification | A brief description of the sample | 3/4" HMA-A-SP R25 .5% LAS |
| The quantity of what the sample constitutes | 36 BOXES OF HMA, 6 BAGS OF COLD FEED AGG, 2 BAGS OF RAP, 6 QTS OF PG64-16, 2 QTS OF ANTI STRIP | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | KAL | Last name of sampler or witnessed by | PATEL |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | 0351A-24 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Martin Mariatta Lake Elsinore | 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 | 53417195 | |
| 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. | |||
