Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2020-06-30-25

Project Information

Project IdentifiersProject ID: 213551
DEA: 080K2934
EFIS: 0812000100
DIST-CO-RTE-PM08-SBD-10-R36.8/R39.2
Award Date11/09/2018
Closeout Date09/15/2021
Work DescriptionPAVEMENT REHABILITATION AND CONTINUOUSLY REINFORCED CONCRETE PAVEMENT
Location DescriptionSAN BERNARDINO COUNTY IN YUCAIPA FROM 0.2 MILE WEST OF LIVE OAK CANYON ROAD TO COUNTY LINE ROAD UNDERCROSSING
QA Service Level1 (Verified on 12/31/2018)

Sample Information

Sample Taken Date06/30/2020 Sample Unique Key25
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 testing07/01/2020
Sample typeAcceptance A brief description of the sample3/4" HMA R12 PG64-28M (0.75% LAS)
The quantity of what the sample constitutes2331 Tons From where was the sample collectedManufacturer
First name of sampler or witnessed byDereck 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 nameMatich-Cabazon 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 Design ID

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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