*Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Sample Record for 2020-06-03-13
Project ID: 213808 DEA: 080N6704 EFIS: 0800000536 QA Service Level: 1
Work Description: CONSTRUCT RAISED MEDIAN AND LEFT TURN LANES.
Location Description: RIVERSIDE COUNTY NEAR HEMET FROM 0.6 MILE EAST OF ROUTE 215 TO 0.4 MILE WEST OF ACACIA AVENUE.
Contractor Name: Granite Const. Co Contractor Address: 3800 Monroe Street
Resident Engineer: Nick Truong Structure Rep.: Unknown
DIME Sample ID: 2020-06-03-13
TL Number from the TL Form:
Sample Submitted By Organization: CT - Southern Regional Laboratory
Sample Organization Contact: 213-792-4794
Type of Sample: Acceptance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 06/03/2020
Date that the sample was received by the laboratory/organization performing the testing: 06/05/2020
The quantity of what the sample constitutes: 807 Tons
A brief description of the sample: 3/4" HMA-A R24 PG64-28M (0.5% LAS)
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
HMA Type: Type A HMA
HMA Grading: 3/4 inch
Lot number: Unknown
Sublot number: Unknown