Sample Record

Owner Lab

  • CT D08 - Hesperia Field Testing Laboratory

DIME Sample ID 2020-10-13-37

Project Information

Project IdentifiersProject ID: 214885
DEA: 080K1234
EFIS: 0815000242
DIST-CO-RTE-PM08-SBD-15-64.6/75.3
Award Date06/03/2020
Closeout DateNot set
Work DescriptionCOLD PLANE ASPHALT CONCRETE PAVEMENT AND PLACE RHMA-G.
Location DescriptionSAN BERNARDINO COUNTY FROM 1.2 MILES SOUTH OF SIDEWINDER ROAD OVERCROSSING TO MOJAVE RIVER BRIDGE
QA Service Level1 (Verified on 07/10/2020)

Sample Information

Sample Taken Date10/13/2020 Sample Unique Key37
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 testing10/15/2020
Sample typeAcceptance A brief description of the sampleRte 15 SB Lan 2 (43-A,B,C)
The quantity of what the sample constitutes2 box, 3 cores From where was the sample collectedJob Site
First name of sampler or witnessed byGeorge Last name of sampler or witnessed byThunstrom
Title of samplerTE Telephone number of sampler
Laboratory sample identification43-A, 43-B, 43-C Linked DIME Sample ID
The fabricator/manufacturer/facility nameOHL, Sully Miller Transportation Laboratory (TL) NumberBlue Diamond
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure nameI 15 N Sidewinder Rd

Material Information

Material TypeHot Mix Asphalt HMA TypeRHMA-G
HMA Grading3/4 inch Lot number
Sublot number HMA Design ID

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