Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2020-05-19-20

Project Information

Project IdentifiersProject ID: 212889
DEA: 073009U4
EFIS: 0714000238
DIST-CO-RTE-PM07-LA-110-R0.7/24.1
Award Date04/03/2018
Closeout Date06/30/2021
Work DescriptionREPLACE CONCRETE PAVEMENT, COLD PLANE AND PLACE HMA PAVEMENT.
Location DescriptionLOS ANGELES COUNTY IN AND NEAR LOS ANGELES AND CARSON FROM GAFFEY STREET TO 0.1 MILE SOUTH OF COLLEGE STREET OVERCROSSING
QA Service Level1 (Verified on 06/21/2018)

Sample Information

Sample Taken Date05/19/2020 Sample Unique Key20
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 testing05/21/2020
Sample typeAcceptance A brief description of the sample3//4" RHMA-G-SP 0.5% LAS
The quantity of what the sample constitutes114.89 tons From where was the sample collectedManufacturer
First name of sampler or witnessed byJose Last name of sampler or witnessed byIbarra
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameAAA-Irvine 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