Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2024-10-11-16
Project Information
Project Identifiers | Project ID: 1000255 DEA: 081N7504 EFIS: 0823000045 |
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DIST-CO-RTE-PM | 08-SBD-138,189-21.4/R37.8,0.0/5.6 |
Award Date | 06/12/2024 |
Closeout Date | Not set |
Work Description | SLURRY SEAL, TWO-COMPONENT PAINT TRAFFIC STRIPE, REPLACE AC SURFACING. |
Location Description | SAN BERNARDINO COUNTY ON ROUTE 138 FROM BOLINGBROKE ROAD TO ROUTE 18 AND ON ROUTE 189 FROM ROUTE 18 TO ROUTE 173 |
QA Service Level | 1 (Verified on 05/15/2024) |
Sample Information
Sample Taken Date | 10/11/2024 | Sample Unique Key | 16 |
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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 | 10/14/2024 |
Sample type | Acceptance | A brief description of the sample | 3/4" HMS S SP R15 NO LAS |
The quantity of what the sample constitutes | 2 BOXES OF HMA | From where was the sample collected | Manufacturer |
First name of sampler or witnessed by | MOHAMMED | Last name of sampler or witnessed by | HAQUE |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | 0542A-24 | Linked DIME Sample ID | |
The fabricator/manufacturer/facility name | AAA-Corona | 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 |
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HMA Grading | 3/4 inch | Lot number | |
Sublot number | HMA Mix Number | 105793 |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2024-10-11-16-1 AASHTO T308-10 (Verified)