Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2024-11-05-21
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 1000368 DEA: 081J4704 EFIS: 0818000055 |
|---|---|
| DIST-CO-RTE-PM | 08-RIV-10-R87.9,R91.0 |
| Award Date | 08/07/2024 |
| Closeout Date | Not set |
| Work Description | PARTIALLY GROUTED RSP, STRUCTURE EXCAVATION AND ROADWAY EXCAVATION. |
| Location Description | RIVERSIDE COUNTY NEAR CHIRIACO SUMMIT AT THREE STAR DITCH BRIDGE AND AT DETERMINATION DITCH BRIDGE |
| QA Service Level | 1 (Verified on 09/02/2024) |
Sample Information
| Sample Taken Date | 11/05/2024 | Sample Unique Key | 21 |
|---|---|---|---|
| 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 | 11/08/2024 |
| Sample type | Verification | A brief description of the sample | 3/4" RWMA G .3% EVO 1.0% LSM |
| The quantity of what the sample constitutes | 24 BX RHMA 4 QT PG64-16 & RBR BLND 4 BGS COMB AGG I BG CRM & HI NAT2 QT LIME 2 QT RFX | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | LUKE | Last name of sampler or witnessed by | HALL |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | 0608G-24 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Granite - Desert Hot Springs | 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 | RHMA-G |
|---|---|---|---|
| HMA Grading | 3/4 inch | Lot number | |
| Sublot number | HMA Mix Number | 14820 |
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. | |||