Sample Record

Owner Lab

  • CT - Southern Regional Laboratory

DIME Sample ID 2020-10-12-11

Sample is locked from editing.

Project Information

Project IdentifiersProject ID: 214848
DEA: 081H3414
EFIS: 0818000172
DIST-CO-RTE-PM08-SBD-210,215,259-Various
Award DateNot set
Closeout DateNot set
Work DescriptionPLACE RHMA-G, COLD PLANE AC AND REPLACE AC SURFACING.
Location DescriptionSAN BERNARDINO COUNTY ON ROUTE 210, 215 AND 259 AT VARIOUS LOCATIONS
QA Service Level1 (Verified on 07/20/2020)

Sample Information

Sample Taken Date10/12/2020 Sample Unique Key11
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 testing10/13/2020
Sample typeVerification A brief description of the samplePSUE 3/4" HMA-A-SP R15 No LAS
The quantity of what the sample constitutes4 Bags Coldfeed Agg., 2 Bags Rap From where was the sample collectedManufacturer
First name of sampler or witnessed byCezar Last name of sampler or witnessed byAll American Asphalt QC
Title of sampler Telephone number of sampler
Laboratory sample identification0594A-20 Linked DIME Sample ID
The fabricator/manufacturer/facility nameAll American Asphalt - Corona Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAggregate Source Identification (SMARA or name of Pit)91-33-0005
The fabricator's/manufacturer's product name for the sample3/4 HMA-A-SP R15 The fabricator/manufacturer designation for the sample
The plant number105927 A detailed description of where the material sample was collectedBelt Cut at All American Corona Plant
Where the material sample would have been placed if not sampledAsphalt Paving Primary Aggregate Nominal Size3/4 inch
The concrete mix design number Lot number
Sublot number JMF Verification ID

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