Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2024-09-27-18
Project Information
Project Identifiers | Project ID: 1000101 DEA: 081J2904 EFIS: 0818000015 |
---|---|
DIST-CO-RTE-PM | 08-RIV-215-25.0/R31.2 |
Award Date | 06/18/2024 |
Closeout Date | Not set |
Work Description | RHMA, HMA, REPLACE AC SURFACING, AND COLD PLANE AC PVMT. |
Location Description | RIVERSIDE 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 Level | 1 (Verified on 05/15/2024) |
Sample Information
Sample Taken Date | 09/27/2024 | Sample Unique Key | 18 |
---|---|---|---|
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 | 09/30/2024 |
Sample type | Verification | A brief description of the sample | 3/8" HMA A SP R25 .5% LAS |
The quantity of what the sample constitutes | 36 BX HMA 6 QT PG64-16 3 QTS LAS 6 BGS CMB AGG 3 BGS RAP | From where was the sample collected | Manufacturer |
First name of sampler or witnessed by | Maryanna | Last name of sampler or witnessed by | Landaverde |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | 0503A-24 | Linked DIME Sample ID | |
The fabricator/manufacturer/facility name | Martin Marietta Lake Elsinore | 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 | 3/8 inch | Lot number | |
Sublot number | HMA Mix Number | 53817195 |
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. |