Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2022-05-07-17
Project Information
Project Identifiers | Project ID: 214848 DEA: 081H3414 EFIS: 0818000172 |
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DIST-CO-RTE-PM | 08-SBD-210,215,259-Various |
Award Date | 05/07/2020 |
Closeout Date | 10/13/2022 |
Work Description | PLACE RHMA-G, COLD PLANE AC AND REPLACE AC SURFACING. |
Location Description | SAN BERNARDINO COUNTY ON ROUTE 210, 215 AND 259 AT VARIOUS LOCATIONS |
QA Service Level | 1 (Verified on 07/20/2020) |
Sample Information
Sample Taken Date | 05/07/2022 | Sample Unique Key | 17 |
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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 | 05/16/2022 |
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 HMA, 772.59 tons out | From where was the sample collected | Manufacturer |
First name of sampler or witnessed by | Victor | Last name of sampler or witnessed by | QC |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | 0287G-22 | 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 | 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: 2022-05-07-17-1 AASHTO T308-10 (Verified)