Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2020-06-03-15

Project Information

Project IdentifiersProject ID: 213970
DEA: 080K1214
EFIS: 0815000245
DIST-CO-RTE-PM08-SBD-15-12.5/14.8
Award Date12/23/2019
Closeout Date01/18/2022
Work DescriptionREPLACE PCC PAVEMENT WITH JPCP AND PRECAST JOINTED CONCRETE PAVEMENT.
Location DescriptionSAN BERNARDINO COUNTY IN FONTANA AND NEAR DEVORE FROM 0.3 MILE SOUTH OF SIERRA AVENUE UNDERCROSSING TO GLEN HELEN PARKWAY UNDERCROSSING
QA Service Level1 (Verified on 12/12/2019)

Sample Information

Sample Taken Date06/03/2020 Sample Unique Key15
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 testing06/04/2020
Sample typeAcceptance A brief description of the sample3/4" HMA-A R15 PG64-28M (0.5% LAS)
The quantity of what the sample constitutes949 Tons From where was the sample collectedManufacturer
First name of sampler or witnessed byQC 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 nameVulcan Corona Drum 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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Test File Attachments