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Sample Record for 2020-10-13-36

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

Project Information

Project ID: 214885 DEA: 080K1234 EFIS: 0815000242 QA Service Level: 1
DIST-CO-RTE-PM: 08-SBD-15-64.6/75.3
Work Description: COLD PLANE ASPHALT CONCRETE PAVEMENT AND PLACE RHMA-G.
Location Description: SAN BERNARDINO COUNTY FROM 1.2 MILES SOUTH OF SIDEWINDER ROAD OVERCROSSING TO MOJAVE RIVER BRIDGE
Contractor Name: SULLY-MILLER CONTRACTING COMPANY
Contractor Address: 135 S STATE COLLEGE BLVD #400, BREA CA 92821
Resident Engineer: Taghreed Al-Khateeb Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2020-10-13-36
TL Number from the TL Form: Blue Diamond
Sample Submitted By Organization: CT D08 - Hesperia Field Testing Laboratory
Sample Organization Contact: (951) 840-8242
Type of Sample: Acceptance
Type of Material: Hot Mix Asphalt
Sample Taken Date: 10/13/2020
Date that the sample was received by the laboratory/organization performing the testing: 10/15/2020
The quantity of what the sample constitutes: 2 box, 3 cores
A brief description of the sample: Rte 15 SB Lan 2 (43-A,B,C)
From where was the sample collected: Job Site
Laboratory sample identification: 43-A, 43-B, 43-C
Structure unique identifier:
Structure name: I 15 N Sidewinder Rd
The fabricator/manufacturer/facility name: OHL, Sully Miller

Material Information

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

Test Results

Tests Assigned to this Sample

DIME Test IDTest MethodAssigned DateTest DateAssigned ByAssigned LabTest CommentsAssigned To
No tests have been assigned to this sample.