Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2020-05-12-13
Project Information
Project Identifiers | Project ID: 214314 DEA: 081F6904 EFIS: 0815000016 |
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DIST-CO-RTE-PM | 08-RIV-79-0.0/15.6 |
Award Date | 10/02/2019 |
Closeout Date | 03/23/2021 |
Work Description | COLD PLANE AC PAVEMENT AND PLACE RHMA-G. |
Location Description | RIVERSIDE COUNTY NEAR TEMECULA FROM SAN DIEGO COUNTY LINE TO 0.4 MILE EAST OF BUTTERFIELD STAGE ROAD |
QA Service Level | 1 (Verified on 12/12/2019) |
Sample Information
Sample Taken Date | 05/12/2020 | Sample Unique Key | 13 |
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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 | 05/13/2020 |
Sample type | Department Acceptance | A brief description of the sample | 3/4" HMA-A R-15 PG64-28M |
The quantity of what the sample constitutes | 119 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 | AAA-Corona | 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 |
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No results found. |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |