Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2024-09-27-18

Project Information

Project IdentifiersProject ID: 1000101
DEA: 081J2904
EFIS: 0818000015
DIST-CO-RTE-PM08-RIV-215-25.0/R31.2
Award Date06/18/2024
Closeout DateNot set
Work DescriptionRHMA, HMA, REPLACE AC SURFACING, AND COLD PLANE AC PVMT.
Location DescriptionRIVERSIDE COUNTY IN AND NEAR PERRIS FROM 0.1 MILE SOUTH OF SAN JACINTO RIVER BRIDGE TO 0.3 MILE NORTH OF RAMONA EXPRESSWAY
QA Service Level1 (Verified on 05/15/2024)

Sample Information

Sample Taken Date09/27/2024 Sample Unique Key18
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 testing09/30/2024
Sample typeVerification A brief description of the sample3/8" HMA A SP R25 .5% LAS
The quantity of what the sample constitutes36 BX HMA 6 QT PG64-16 3 QTS LAS 6 BGS CMB AGG 3 BGS RAP From where was the sample collectedManufacturer
First name of sampler or witnessed byMaryanna Last name of sampler or witnessed byLandaverde
Title of sampler Telephone number of sampler
Laboratory sample identification0503A-24 Linked DIME Sample ID
The fabricator/manufacturer/facility nameMartin Marietta Lake Elsinore Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeHot Mix Asphalt HMA TypeType A HMA
HMA Grading3/8 inch Lot number
Sublot number HMA Mix Number53817195

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Test File Attachments