Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2020-06-15-15
Project Information
Project Identifiers | Project ID: 213707 DEA: 081C38U4 EFIS: 0817000196 |
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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 | 06/15/2020 | Sample Unique Key | 15 |
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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 | 06/16/2020 |
Sample type | Department Acceptance | A brief description of the sample | 3/4" HMA-A R24 PG64-28M (0.50% LAS) |
The quantity of what the sample constitutes | 425 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 |
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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 |
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No results found. |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |