Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2020-06-02-12
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 213707 DEA: 081C38U4 EFIS: 0817000196 |
|---|---|
| DIST-CO-RTE-PM | 08-RIV-10-6.7/R25.1 |
| Award Date | 11/26/2019 |
| Closeout Date | 11/01/2023 |
| Work Description | Remove concrete pavement and base, and place HMA and JPCP |
| Location Description | ROUTE 10/60 SEPARATION IN BEAUMONT TO ROUTE 10/111 SEPARATION NEAR CABAZON. |
| QA Service Level | 1 (Verified on 01/09/2020) |
Sample Information
| Sample Taken Date | 06/02/2020 | Sample Unique Key | 12 |
|---|---|---|---|
| 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 | 06/03/2020 |
| Sample type | Department Acceptance | A brief description of the sample | 3/4" HMA-A R24 PG64-28M (0.5% LAS) |
| The quantity of what the sample constitutes | 136 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 | 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. | |||