Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2021-09-12-5

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 215410
DEA: 060U5204
EFIS: 0616000003
DIST-CO-RTE-PM06-MAD-99-R14.0/R14.5,15.1/19.6
Award Date04/01/2021
Closeout Date10/03/2022
Work DescriptionHMA (TYPE A) AND RHMA (GAP GRADED) RESURFACING.
Location DescriptionMADERA COUNTY IN AND NEAR MADERA FROM 0.2 MILE SOUTH OF AVENUE 17 OVERCROSSING TO 0.3 MILE NORTH OF AVENUE 17 OVERCROSSING AND FROM 1.0 MILE NORTH OF AVENUE 17 OVERCROSSING TO 0.9 MILE NORTH OF AVENUE 20 OVERCROSSING
QA Service Level1 (Verified on 01/25/2021)

Sample Information

Sample Taken Date09/12/2021 Sample Unique Key5
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 testing10/27/2021
Sample typeDispute Resolution A brief description of the sampleDispute 3/4" HMA-A-SR R15
The quantity of what the sample constitutes1 Bag of RAP From where was the sample collectedManufacturer
First name of sampler or witnessed byThomas Last name of sampler or witnessed byS
Title of sampler Telephone number of sampler
Laboratory sample identification5030 Linked DIME Sample ID
The fabricator/manufacturer/facility nameVulcan Madera Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeReclaimed Asphalt Pavement RAP SourceVulcan Madera
Aggregate Size1/2 Aggregate Source
RAP Stockpile Stockpile Size (tons)
Reclaimed Asphalt Pavement Mix NumberNot set

Combined Gradation Report Information

Combined Gradation Report IdBin IndexDime Test Id
No assigned tests for this sample.

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2021-09-12-5-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesDavid Padilla, CT D08 - Fontana Southern Regional Laboratory10/29/2021Michael Magana
Yes
11/03/2021RAP Gradation After Ignition Oven

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2021-09-12-5-1 CTM 202-November 2011 (Verified)