Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2022-04-05-8
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Project Information
| Project Identifiers | Project ID: 213707 DEA: 081C38U4 EFIS: 0817000196 |
|---|---|
| DIST-CO-RTE-PM | 08-RIV-10-6.7/R25.1 |
| Award Date | 11/26/2019 |
| Closeout Date | 11/01/2023 |
| Work Description | Remove concrete pavement and base, and place HMA and JPCP |
| Location Description | ROUTE 10/60 SEPARATION IN BEAUMONT TO ROUTE 10/111 SEPARATION NEAR CABAZON. |
| QA Service Level | 1 (Verified on 01/09/2020) |
Sample Information
| Sample Taken Date | 04/05/2022 | Sample Unique Key | 8 |
|---|---|---|---|
| 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 | 04/07/2022 |
| Sample type | Verification | A brief description of the sample | Correction Factor, 3/4" HMA-A-SP R24 0.5% LAS |
| The quantity of what the sample constitutes | 4 Bags Of Aggregate, 1 Bag Rap | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | David | Last name of sampler or witnessed by | Walker |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | 0213A-22 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | California Commercial Asphalt - Coachella | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | 91-33-0084 |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | The fabricator/manufacturer designation for the sample | ||
| The plant number | 43417615 | A detailed description of where the material sample was collected | Belt Cut at California Commercial Asphalt Coachella |
| Where the material sample would have been placed if not sampled | Asphalt Paving | Primary Aggregate Nominal Size | 3/4 inch |
| The concrete mix design number | Lot number | ||
| Sublot number | Aggregate Mix Number | Not set |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||