Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2021-11-09-16
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 215587 DEA: 081L6804 EFIS: 0820000138 |
---|---|
DIST-CO-RTE-PM | 08-RIV-91,15-7.5/13.4,8.2/23.9 |
Award Date | 04/30/2021 |
Closeout Date | 08/16/2023 |
Work Description | SLAB REPLACEMENT, PLACE SLURRY SEAL AND REPLACE AC SURFACING. |
Location Description | RIVERSIDE COUNTY IN AND NEAR CORONA AND MURRIETA ON ROUTE 91 FROM ROUTE 15/91 SEPARATION TO 0.4 MILE EAST OF TYLER STREET AND ON ROUTE 15 FROM 1.5 MILES NORTH OF WINCHESTER ROAD TO NICHOLS ROAD |
QA Service Level | 1 (Verified on 06/23/2021) |
Sample Information
Sample Taken Date | 11/09/2021 | Sample Unique Key | 16 |
---|---|---|---|
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 | 11/12/2021 |
Sample type | Department Acceptance | A brief description of the sample | 3/4" WMA-A-SP R15 0.4% EVO |
The quantity of what the sample constitutes | 2 Boxes HMA 100.78 tons out | From where was the sample collected | Manufacturer |
First name of sampler or witnessed by | AAA | Last name of sampler or witnessed by | QC |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | 0630A-21 | Linked DIME Sample ID | |
The fabricator/manufacturer/facility name | AAA Corona | 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 |
---|---|---|---|
HMA Grading | 3/4 inch | Lot number | |
Sublot number | HMA Mix Number | Not set |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
---|---|---|---|
No results found. |
Test File Attachments
DIME Test ID: 2021-11-09-16-1 AASHTO T308-10 (Verified)