Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2019-03-16-1
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 212889 DEA: 073009U4 EFIS: 0714000238 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-110-R0.7/24.1 |
| Award Date | 04/03/2018 |
| Closeout Date | 06/30/2021 |
| Work Description | REPLACE CONCRETE PAVEMENT, COLD PLANE AND PLACE HMA PAVEMENT. |
| Location Description | LOS ANGELES COUNTY IN AND NEAR LOS ANGELES AND CARSON FROM GAFFEY STREET TO 0.1 MILE SOUTH OF COLLEGE STREET OVERCROSSING |
| QA Service Level | 1 (Verified on 06/21/2018) |
Sample Information
| Sample Taken Date | 03/16/2019 | Sample Unique Key | 1 |
|---|---|---|---|
| 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 | 03/25/2019 |
| Sample type | Verification | A brief description of the sample | HMA-A 3/4" R15 PG64-10 |
| The quantity of what the sample constitutes | 20 boxes | From where was the sample collected | Source |
| First name of sampler or witnessed by | G | Last name of sampler or witnessed by | Zubieta |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | AAA-Irwindale | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | Not set | |
| Structure name | Not set |
Material Information
| Material Type | Hot Mix Asphalt | HMA Type | Type A HMA |
|---|---|---|---|
| HMA Grading | 3/4 inch | Lot number | Unknown |
| Sublot number | Unknown | HMA Mix Number | Not set |
JMF Information
| Verification ID | JMF3513-2019-52 | Date Created | 04/04/2019 |
|---|---|---|---|
| JMF Submittal ID | JMF3511-26-2019-75 | JMF Status | Submittal Accepted for Verification |
| Producer Mix ID | 105793 | Authorized Date | N/A |
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. | |||