Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2020-05-07-11
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 214466 DEA: 081F1414 EFIS: 0815000231 |
|---|---|
| DIST-CO-RTE-PM | 08-RIV-15-15-54.2/54.3 |
| Award Date | 01/02/2020 |
| Closeout Date | 05/26/2022 |
| Work Description | Slab & lane replacement with JPCP & precast conc pavement, place HMA. |
| Location Description | Riverside and San Diego County |
| QA Service Level | 1 (Verified on 03/20/2020) |
Sample Information
| Sample Taken Date | 05/07/2020 | Sample Unique Key | 11 |
|---|---|---|---|
| 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 | 05/13/2020 |
| Sample type | Department Acceptance | A brief description of the sample | 3/4" HMA-A PG-28M (0.50 LAS) |
| The quantity of what the sample constitutes | 724 Tons | From where was the sample collected | Source |
| First name of sampler or witnessed by | QC | Last name of sampler or witnessed by | QC |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | CCA-Lake Elsinore | 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 | Type A HMA |
|---|---|---|---|
| HMA Grading | 3/4 inch | Lot number | Unknown |
| Sublot number | Unknown | HMA Mix Number | Not set |
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. | |||