Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2021-09-09-23
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 215756 DEA: 074W9304 EFIS: 0720000195 |
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DIST-CO-RTE-PM | 07-LA-105-R0.0/R12.9 |
Award Date | 06/25/2021 |
Closeout Date | 07/26/2022 |
Work Description | APPLY SLURRY SEAL TO ROADWAY. |
Location Description | LOS ANGELES COUNTY IN EL SEGUNDO AND LYNWOOD FROM CALIFORNIA STREET TO ATLANTIC AVENUE UNDERCROSSING |
QA Service Level | 1 (Verified on 08/11/2021) |
Sample Information
Sample Taken Date | 09/09/2021 | Sample Unique Key | 23 |
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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 | 09/13/2021 |
Sample type | Acceptance | A brief description of the sample | 1/2" HMA-A-SP R15 0.5% LAS |
The quantity of what the sample constitutes | 2 Boxes 114.91 Tons Out | From where was the sample collected | Manufacturer |
First name of sampler or witnessed by | Gerardo | Last name of sampler or witnessed by | Zubieta |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | 0525A-21 | Linked DIME Sample ID | |
The fabricator/manufacturer/facility name | Vulcan | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name |
Material Information
Material Type | Hot Mix Asphalt | HMA Type | Type A HMA |
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HMA Grading | 1/2 inch | Lot number | |
Sublot number | HMA 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: 2021-09-09-23-1 AASHTO T308-10 (Verified)