Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2024-10-30-49

Project Information

Project IdentifiersProject ID: 1000216
DEA: 081G6304
EFIS: 0816000043
DIST-CO-RTE-PM08-RIV-111-47.2/55.3
Award Date09/05/2024
Closeout DateNot set
Work DescriptionRHMA-G, REPLACE AC SURFACING, AND COLD PLANE AC PVMT.
Location DescriptionRIVERSIDE COUNTY IN PALM SPRINGS FROM GOLF CLUB DRIVE TO WEST GATEWAY DRIVE
QA Service Level1 (Verified on 05/15/2024)

Sample Information

Sample Taken Date10/30/2024 Sample Unique Key49
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 testing11/21/2024
Sample typeAcceptance A brief description of the sample3/4" RHMA G SP .50% LAS
The quantity of what the sample constitutes24 RHMA 4 BG CMB AGG 1 BG HN 1 BG CRM 2 QT PG 64-16 4 QT RBR BLND 2 QT LAS 2 QT RFX From where was the sample collectedManufacturer
First name of sampler or witnessed byLUKE Last name of sampler or witnessed byHALL
Title of sampler Telephone number of sampler
Laboratory sample identification0640G-24 Linked DIME Sample ID
The fabricator/manufacturer/facility nameGranite - Desert Hot Springs 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 TypeRHMA-G
HMA Grading3/4 inch Lot number
Sublot number HMA Mix Number1556

Submitted Tests

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