Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2020-06-26-12

Project Information

Project IdentifiersProject ID: 214314
DEA: 081F6904
EFIS: 0815000016
DIST-CO-RTE-PM08-RIV-79-0.0/15.6
Award Date10/02/2019
Closeout Date03/23/2021
Work DescriptionCOLD PLANE AC PAVEMENT AND PLACE RHMA-G.
Location DescriptionRIVERSIDE COUNTY NEAR TEMECULA FROM SAN DIEGO COUNTY LINE TO 0.4 MILE EAST OF BUTTERFIELD STAGE ROAD
QA Service Level1 (Verified on 12/12/2019)

Sample Information

Sample Taken Date06/26/2020 Sample Unique Key12
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 testing06/29/2020
Sample typeDepartment Acceptance A brief description of the sample3/4" HMA-G PG64-16RB (0.5% LAS)
The quantity of what the sample constitutes445 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 nameAAA-Corona 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 TypeRHMA-G
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