Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2021-04-30-18

Project Information

Project IdentifiersProject ID: 214921
DEA: 09367404
EFIS: 0916000025
DIST-CO-RTE-PM09-KER-14-R4.7/R12.6
Award DateNot set
Closeout Date01/23/2023
Work DescriptionCONSTRUCT CRCP OVER EXISTING PAVEMENT AND PLACE HMA.
Location DescriptionKERN 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 Level1 (Verified on 11/06/2020)

Sample Information

Sample Taken Date04/30/2021 Sample Unique Key18
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 testing05/06/2021
Sample typeDepartment Acceptance A brief description of the sample3/4" HMA-A-SP R25 0.8% Dry Lime
The quantity of what the sample constitutes2 HMA boxes From where was the sample collectedManufacturer
First name of sampler or witnessed byGranite Construction Company Littlerock Last name of sampler or witnessed byQC
Title of sampler Telephone number of sampler
Laboratory sample identification0261A-21 Linked DIME Sample ID
The fabricator/manufacturer/facility nameBig Rock, Granite Construction 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 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