Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2022-03-12-15
Project Information
Project Identifiers | Project ID: 215109 DEA: 081C8504 EFIS: 0813000047 |
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DIST-CO-RTE-PM | 08-RIV-74-0.0/5.8 |
Award Date | Not set |
Closeout Date | Not set |
Work Description | ROADWAY EXCAVATION, HOT MIX ASPHALT, AND STRUCTURAL SHOTCRETE WALLS. |
Location Description | RIVERSIDE COUNTY NEAR LAKE ELSINORE FROM ORANGE COUNTY LINE TO MONTE VISTA STREET |
QA Service Level | 1 (Verified on 02/24/2021) |
Sample Information
Sample Taken Date | 03/12/2022 | Sample Unique Key | 15 |
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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 | 03/15/2022 |
Sample type | Department Acceptance | A brief description of the sample | 3/4" HMA-A-SP R24 0.5%LAS |
The quantity of what the sample constitutes | 2 Boxes 124.0 Tons Out | From where was the sample collected | Manufacturer |
First name of sampler or witnessed by | Erik | Last name of sampler or witnessed by | Jimenez |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | 0163A-22 | Linked DIME Sample ID | |
The fabricator/manufacturer/facility name | CCA Lake Elsinore | 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 | 1 |
Sublot number | 15 | 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: 2022-03-12-15-1 AASHTO T308-10 (Verified)