Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2021-07-17-3
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 215494 DEA: 081H4904 EFIS: 0817000059 |
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DIST-CO-RTE-PM | 08-SBD-18-31.9/38.5 |
Award Date | 04/05/2021 |
Closeout Date | 01/18/2022 |
Work Description | COLD PLANE AC PAVEMENT AND OVERLAY WITH HMA (TYPE A). |
Location Description | SAN BERNARDINO COUNTY FROM 0.1 MILE EAST OF HILLTOP CONNECTOR TO 0.5 MILE EAST OF SIBERIA CREEK TRAIL |
QA Service Level | 1 (Verified on 07/06/2021) |
Sample Information
Sample Taken Date | 07/17/2021 | Sample Unique Key | 3 |
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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 | 07/21/2021 |
Sample type | Verification | A brief description of the sample | JMF 3/4" HMA-A-SP R12, 0.75%LAS |
The quantity of what the sample constitutes | 5 Bags of Combined Aggregate, 3 Bags of RAP | From where was the sample collected | Manufacturer |
First name of sampler or witnessed by | Matich Lytle Creek | Last name of sampler or witnessed by | QC |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | 0419A-21 | Linked DIME Sample ID | |
The fabricator/manufacturer/facility name | Matich Lytle Creek | 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 or name of Pit) | 91-36-0040::LYTLE CREEK |
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The fabricator's/manufacturer's product name for the sample | 3/4 HMA-A-SP R12 | The fabricator/manufacturer designation for the sample | |
The plant number | LHP 62D | A detailed description of where the material sample was collected | Belt Cut at Matich Lytle Creek 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
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2021-07-17-3-1 AASHTO T27-14 (Verified)
DIME Test ID: 2021-07-17-3-2 AASHTO T84-14 (Verified)
DIME Test ID: 2021-07-17-3-3 AASHTO T85-13 (Verified)
DIME Test ID: 2021-07-17-3-4 AASHTO T96-02r10 (Verified)
DIME Test ID: 2021-07-17-3-5 AASHTO T176-08 (Verified)
DIME Test ID: 2021-07-17-3-6 AASHTO T304-11 (Verified)
DIME Test ID: 2021-07-17-3-7 AASHTO T335-09r13 (Verified)
DIME Test ID: 2021-07-17-3-8 ASTM D4791-10 (Verified)
DIME Test ID: 2021-07-17-3-9 CTM 202-November 2011 (Verified)
DIME Test ID: 2021-07-17-3-10 CTM 202-November 2011 (Verified)