Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2019-02-20-8

Project Information

Project IdentifiersProject ID: 212910
DEA: 080K2914
EFIS: 0812000098
DIST-CO-RTE-PM08-SBD-10-30.9/33.3
Award Date03/06/2018
Closeout Date09/04/2019
Work DescriptionLANE REPLACEMENT
Location DescriptionSAN BERNARDINO COUNTY IN REDLANDS FROM ORANGE STREET UNDERCROSSING TO REDLANDS BLVD OFF-RAMP UNDERCROSSING
QA Service Level1 (Verified on 05/02/2018)

Sample Information

Sample Taken Date02/20/2019 Sample Unique Key8
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 testing02/21/2019
Sample typeAcceptance A brief description of the samplePG64-28M
The quantity of what the sample constitutes1 qt can From where was the sample collectedJob Site
First name of sampler or witnessed byunknown Last name of sampler or witnessed byunknown
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameSJR Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeAsphalt Binder Performance GradePG64-28M
ModifiedYes Lot numberNot set
Sublot numberNot set Tank numberNot set
Time of sampleNot set HMA SupplierNot set
Certified Asphalt SupplierNot set MultigradeNot set
Multigrade TypeNot set Asphalt Binder Mix NumberNot set

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
No results found.

Sample File Attachments

File NameExtensionDate UploadedActions
No results found.

Test File Attachments