Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2025-03-04-25
Project Information
Project Identifiers | Project ID: 66667 DEA: JMFPP EFIS: 0019000043 |
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DIST-CO-RTE-PM | 59--- |
Award Date | Not set |
Closeout Date | Not set |
Work Description | Special project for submitting Sample information for JMF Prequalification Program. |
Location Description | Not set |
QA Service Level | NOT VERIFIED |
Sample Information
Sample Taken Date | 03/04/2025 | Sample Unique Key | 25 |
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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 | Not set |
Sample type | Verification | A brief description of the sample | 1/2" RWMA G SP 0.25% EVO |
The quantity of what the sample constitutes | 32 BX RWMA 4 BGS CMB AGG 1 CN CRM 1 CN HN 6 QTS EA VGN AND RBR BLND 2 QTS EVO 1 QT EXT | From where was the sample collected | Manufacturer |
First name of sampler or witnessed by | CHRISTOPHER | Last name of sampler or witnessed by | LUCERO |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | 0154G-25 | Linked DIME Sample ID | |
The fabricator/manufacturer/facility name | Vulcan - 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 | RHMA-G |
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HMA Grading | 1/2 inch | Lot number | |
Sublot number | HMA Mix Number | 326122 CORD SJR |
Submitted Tests
DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
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No results found. |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |