Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2020-06-02-5

Sample is locked from editing.

Project Information

Project IdentifiersProject ID: 213808
DEA: 080N6704
EFIS: 0800000536
DIST-CO-RTE-PM08-RIV-74-28.1/37.4
Award Date03/12/2019
Closeout DateNot set
Work DescriptionCONSTRUCT RAISED MEDIAN AND LEFT TURN LANES.
Location DescriptionRIVERSIDE COUNTY NEAR HEMET FROM 0.6 MILE EAST OF ROUTE 215 TO 0.4 MILE WEST OF ACACIA AVENUE.
QA Service Level1 (Verified on 12/04/2019)

Sample Information

Sample Taken Date06/02/2020 Sample Unique Key5
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 testing06/03/2020
Sample typeVerification A brief description of the sample3/4 HMA-A-SP R24 Aggregates and RAP
The quantity of what the sample constitutesPSUE 9 Bags From where was the sample collectedManufacturer
First name of sampler or witnessed byCalifornia Commercial Asphalt Lake Elsinore Last name of sampler or witnessed byQC
Title of sampler Telephone number of sampler
Laboratory sample identification0293A-20 Linked DIME Sample ID
The fabricator/manufacturer/facility nameCalifornia Commecial Asphalt Lake Elsinore Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAggregate Source Identification (SMARA or name of Pit)91-33-0098, 91-33-0011
The fabricator's/manufacturer's product name for the sample3/4 HMA-A-SP R24 The fabricator/manufacturer designation for the sampleUnknown
The plant number53417315 A detailed description of where the material sample was collectedBelt Cut at California Commercial Asphalt Lake Elsinore Plant
Where the material sample would have been placed if not sampledAsphalt Paving Primary Aggregate Nominal Size3/4 inch
The concrete mix design numberUnknown Lot numberUnknown
Sublot numberUnknown JMF Verification ID

Test Card Drafts

Material TypeTest MethodSaved ByDate SavedActions
No drafts of tests saved for your Sample.