*Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.

Sample Record for 2020-06-03-18


Project Information

Project ID: 210837 DEA: 080J0804 EFIS: 0800000283 COOP: 081625 QA Service Level: 1
DIST-CO-RTE-PM: 08-RIV-15-34.7/51.6
Work Description: (Alternative Delivery) DESIGN-BUILD OF THE INTERSTATE 15 EXPRESS LANES PROJECT
Location Description: Riverside County and SBD-15-0.0/1.3
Contractor Name: Skanska-Ames, Joint Venture Contractor Address: 1801 California Avenue
Resident Engineer: Roy Fisher (reports) Structure Rep.: Fisher, Roy

Sample Information

DIME Sample ID: 2020-06-03-18
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: 06/04/2020
The quantity of what the sample constitutes: 600 Tons
A brief description of the sample: RWMA-G 3/4" PG64-16RB (0.5% wma)
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:

Material Information

HMA Type: RHMA-G
HMA Grading: 3/4 inch
Lot number: Unknown
Sublot number: Unknown