Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2020-12-14-19
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 214921 DEA: 09367404 EFIS: 0916000025 |
|---|---|
| DIST-CO-RTE-PM | 09-KER-14-R4.7/R12.6 |
| Award Date | Not set |
| Closeout Date | 01/23/2023 |
| Work Description | CONSTRUCT CRCP OVER EXISTING PAVEMENT AND PLACE HMA. |
| Location Description | KERN COUNTY AT AND NEAR ROSAMOND AND MOJAVE FROM 1.4 MILES SOUTH OF DAWN ROAD OVERCROSSING TO 0.5 MILE NORTH OF SILVER QUEEN ROAD OVERCROSSING |
| QA Service Level | 1 (Verified on 11/06/2020) |
Sample Information
| Sample Taken Date | 12/14/2020 | Sample Unique Key | 19 |
|---|---|---|---|
| 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 testing | 12/23/2020 |
| Sample type | Acceptance | A brief description of the sample | 3/4" HMA-A-SP R25 0.8% Dry Lime |
| The quantity of what the sample constitutes | 1 Bag CF Agg., 1 Bag Virgin Agg., 1 Bag Rap | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Granite Construction Company-Littlerock | Last name of sampler or witnessed by | QC |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | 0712A-20 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Granite Construction Littlerock | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | 91-19-0046, 91-19-0008 |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | The fabricator/manufacturer designation for the sample | ||
| The plant number | 13554 | A detailed description of where the material sample was collected | Belt Cut at Granite Little Rock Plant |
| Where the material sample would have been placed if not sampled | Asphalt Paving | Primary Aggregate Nominal Size | 3/4 inch |
| The concrete mix design number | Lot number | ||
| Sublot number | Aggregate Mix Number | Not set |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||