Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2020-05-13-14
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 214140 DEA: 081J1104 EFIS: 0817000211 |
|---|---|
| DIST-CO-RTE-PM | 08-RIV-10,79,86-Var |
| Award Date | 06/14/2019 |
| Closeout Date | 06/23/2021 |
| Work Description | REMOVE, PREPARE AND FURNISH POLYESTER CONCRETE OVERLAY. |
| Location Description | RIVERSIDE COUNTY AT VARIOUS LOCATIONS |
| QA Service Level | 1 (Verified on 06/23/2021) |
Sample Information
| Sample Taken Date | 05/13/2020 | Sample Unique Key | 14 |
|---|---|---|---|
| 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 | 05/14/2020 |
| Sample type | Acceptance | A brief description of the sample | 1-2" HMA-A R15 PG-28M (0.50 LAS) |
| The quantity of what the sample constitutes | 161 Tons | From where was the sample collected | Manufacturer |
| 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 Coachella | 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 | 1/2 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. | |||