Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2019-09-19-19

Project Information

Project IdentifiersProject ID: 214111
DEA: 081J5604
DIST-CO-RTE-PM08-RIV-15,74,79-VAR.
Award Date06/13/2019
Closeout Date06/23/2021
Work DescriptionREPLACE AC SURFACING AND PLACE RHMA-G.
Location DescriptionRIVERSIDE COUNTY AT VARIOUS LOCATIONS
QA Service Level1 (Verified on 10/08/2019)

Sample Information

Sample Taken Date09/19/2019 Sample Unique Key19
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 testing09/19/2019
Sample typeDepartment Acceptance A brief description of the sample3/4" RHMA-G PG 64-16 RB
The quantity of what the sample constitutes2 boxes From where was the sample collectedManufacturer
First name of sampler or witnessed byQC Last name of sampler or witnessed byQC
Title of sampler Telephone number of sampler
Laboratory sample identification0553G-19 Linked DIME Sample ID
The fabricator/manufacturer/facility nameAll American Asphalt Corona 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 numberUnknown
Sublot numberUnknown HMA Mix NumberNot set

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Sample File Attachments

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Test File Attachments