Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2024-08-21-25
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Project Information
| Project Identifiers | Project ID: 995494 DEA: 081K4904 EFIS: 0819000050 |
|---|---|
| DIST-CO-RTE-PM | 08-SBD-40-R105.1/R105.9 |
| Award Date | 05/28/2024 |
| Closeout Date | Not set |
| Work Description | BUILDING WORK, HMA, AND TEMPORARY PORTABLE SANITARY FACILITIES. |
| Location Description | SAN BERNARDINO COUNTY ABOUT 36 MILES WEST OF NEEDLES FROM 2.1 MILES TO 1.3 MILES WEST OF GOFFS ROAD UNDERCROSSING |
| QA Service Level | 1 (Verified on 01/18/2024) |
Sample Information
| Sample Taken Date | 08/21/2024 | Sample Unique Key | 25 |
|---|---|---|---|
| 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 | 08/22/2024 |
| Sample type | Verification | A brief description of the sample | 3/4" WMA A SP R25 1% LSM |
| The quantity of what the sample constitutes | 24 BOX HMA, 6 QT OIL, 2 QT EVO, 2 QT LIME, 4 BAG CMB AGG, 3 BAG 3/4, 1/2, 3/8, 2 BAG RD, RAP2 BAG FS | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | CHIZI | Last name of sampler or witnessed by | OZURIGBO |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | 0421A-24 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Granite Desert Hot Springs | 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 | 14747 | |
| 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. | |||