Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2024-09-16-42
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 214697 DEA: 07307104 EFIS: 0714000213 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-101-32.8 |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | CONSTRUCT BRIDGE. |
| Location Description | LOS ANGELES COUNTY IN AND NEAR AGOURA HILLS FROM 0.1 MILE WEST OF LIBERTY CANYON ROAD UNDERCROSSING TO 0.6 MILE EAST OF PALO COMADO OVERCROSSING |
| QA Service Level | 1 (Verified on 07/12/2021) |
Sample Information
| Sample Taken Date | 09/16/2024 | Sample Unique Key | 42 |
|---|---|---|---|
| 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 | 09/18/2024 |
| Sample type | Verification | A brief description of the sample | 3/4" WMA A SP R25 .5% EVO |
| The quantity of what the sample constitutes | 24 BOX HMA 4 QT PG58-16 1 QT EVO 4 BAGS COMB AGG 2 BAGS RAP | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | JOHN | Last name of sampler or witnessed by | MEJIAH |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | 0483A-24 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Vulcan Sun Valley | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Hot Mix Asphalt | HMA Type | Type A HMA |
|---|---|---|---|
| HMA Grading | 3/4 inch | Lot number | |
| Sublot number | HMA Mix Number | 220200W SVA VLO |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||