Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2022-04-25-16
Project Information
Project Identifiers | Project ID: 215148 DEA: 081E8404 EFIS: 0814000113 |
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DIST-CO-RTE-PM | 08-RIV,SBD-62-R6.7/9.2,0.0/15.1,29.3/33.6 |
Award Date | 12/11/2020 |
Closeout Date | 03/01/2023 |
Work Description | REPLACE ROADWAY WITH RHMA-G AND HMA. |
Location Description | IN RIVERSIDE AND SAN BERNARDINO COUNTIES IN AND NEAR YUCCA VALLEY AND IN TWENTYNINE PALMS FROM 0.2 MILE NORTH OF INDIAN CANYON DRIVE TO 0.6 MILE WEST OF UTAH TRAIL |
QA Service Level | 1 (Verified on 03/18/2021) |
Sample Information
Sample Taken Date | 04/25/2022 | Sample Unique Key | 16 |
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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 | 04/29/2022 |
Sample type | Department Acceptance | A brief description of the sample | 3/4" RHMA-G-SP 0.5% LAS |
The quantity of what the sample constitutes | 4 Boxes RHMA, 1 Qt PG64-16RB 171.97 tons out | From where was the sample collected | Manufacturer |
First name of sampler or witnessed by | Matich | Last name of sampler or witnessed by | QC |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | 0256G-22 | Linked DIME Sample ID | |
The fabricator/manufacturer/facility name | Matich Cabazon | 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 | RHMA-G |
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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 |
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No results found. |
Test File Attachments
DIME Test ID: 2022-04-25-16-1 AASHTO T308-10 (Verified)