Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2021-09-12-5
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Project Information
| Project Identifiers | Project ID: 215410 DEA: 060U5204 EFIS: 0616000003 |
|---|---|
| DIST-CO-RTE-PM | 06-MAD-99-R14.0/R14.5,15.1/19.6 |
| Award Date | 04/01/2021 |
| Closeout Date | 10/03/2022 |
| Work Description | HMA (TYPE A) AND RHMA (GAP GRADED) RESURFACING. |
| Location Description | MADERA 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 Level | 1 (Verified on 01/25/2021) |
Sample Information
| Sample Taken Date | 09/12/2021 | Sample Unique Key | 5 |
|---|---|---|---|
| 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 | 10/27/2021 |
| Sample type | Dispute Resolution | A brief description of the sample | Dispute 3/4" HMA-A-SR R15 |
| The quantity of what the sample constitutes | 1 Bag of RAP | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Thomas | Last name of sampler or witnessed by | S |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | 5030 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Vulcan Madera | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Reclaimed Asphalt Pavement | RAP Source | Vulcan Madera |
|---|---|---|---|
| Aggregate Size | 1/2 | Aggregate Source | |
| RAP Stockpile | Stockpile Size (tons) | ||
| Reclaimed Asphalt Pavement Mix Number | Not set |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2021-09-12-5-1 CTM 202-November 2011 (Verified)