Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2022-05-19-53
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Project Information
| Project Identifiers | Project ID: 215315 DEA: 081H8304 EFIS: 0817000139 |
|---|---|
| DIST-CO-RTE-PM | 08-SBD,SBD-138-0/2.3 |
| Award Date | 11/19/2021 |
| Closeout Date | 08/29/2024 |
| Work Description | CONSTRUCT 4' MEDIAN |
| Location Description | SAN BERNARDINO COUNTY ALONG ROUTE 138 |
| QA Service Level | 1 (Verified on 06/24/2021) |
Sample Information
| Sample Taken Date | 05/19/2022 | Sample Unique Key | 53 |
|---|---|---|---|
| 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 | 05/24/2022 |
| Sample type | Department Acceptance | A brief description of the sample | 3/4" HMA-A-SP R25 1.0% LSM |
| The quantity of what the sample constitutes | 2 Boxes HMA 256.96 tons out | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | William | Last name of sampler or witnessed by | Lucas |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | 0304A-22 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Granite Big Rock | 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 | 7 | 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: 2022-05-19-53-1 AASHTO T308-10 (Verified)