Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2020-06-22-30

Project Information

Project IdentifiersProject ID: 213638
DEA: 081E4604
EFIS: 0814000026
DIST-CO-RTE-PM08-RIV-74-37.7/44.7
Award Date12/07/2018
Closeout Date03/23/2021
Work DescriptionCONSTRUCT RAISED MEDIAN CURBS AND LEFT TURNS, AND WIDEN SHOULDERS.
Location DescriptionRIVERSIDE COUNTY IN AND NEAR HEMET FROM 0.1 MILE WEST OF WEST ACACIA AVENUE TO RAMONA EXPRESSWAY
QA Service Level1 (Verified on 02/08/2019)

Sample Information

Sample Taken Date06/22/2020 Sample Unique Key30
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 testing06/23/2020
Sample typeAcceptance A brief description of the sample3/4" HMA-A R15 PG64-28M (0.50% LAS)
The quantity of what the sample constitutes100 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 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 number
Sublot number HMA Design ID

Submitted Tests

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