Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2019-03-16-2
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 212889 DEA: 073009U4 EFIS: 0714000238 |
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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 | 2 |
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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 | 03/25/2019 |
Sample type | Verification | A brief description of the sample | PG64-10 |
The quantity of what the sample constitutes | 4 x 1 qt | From where was the sample collected | Job Site |
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 | San Joaquin Refining Co Inc | 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 | Asphalt Binder | Performance Grade | PG64-10 |
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Modified | No | Lot number | Not set |
Sublot number | Not set | Tank number | Not set |
Time of sample | Not set | HMA Supplier | Not set |
Certified Asphalt Supplier | Not set | Multigrade | Not set |
Multigrade Type | Not set | Asphalt Binder Mix Number | Not set |
JMF Information
Verification ID | JMF3513-2019-52 | Date Created | 04/04/2019 |
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JMF Submittal ID | JMF3511-26-2019-75 | JMF Status | Submittal Accepted for Verification |
Producer Mix ID | 105793 | Authorized Date | N/A |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2019-03-16-2-1 AASHTO T228-09r13 (Verified)
DIME Test ID: 2019-03-16-2-2 AASHTO T315-12 (Verified)