Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2020-06-02-14

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 Date04/28/2022
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 Key14
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 typeAcceptance A brief description of the sample3/4" HMA-A R24 PG64-28M (0.5% LAS)
The quantity of what the sample constitutes820 Tons From where was the sample collectedManufacturer
First name of sampler or witnessed byChris Last name of sampler or witnessed byQC
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameCCA-Lake Elsinore 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 TypeType A HMA
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