Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2022-06-10-28
Project Information
Project Identifiers | Project ID: 215212 DEA: 081F1434 EFIS: 0815000233 |
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DIST-CO-RTE-PM | 08-RIV-15-38.2/51.5 |
Award Date | 12/04/2020 |
Closeout Date | 03/01/2023 |
Work Description | INDIVIDUAL SLAB REPLACEMENT, REPLACE BASE & GRIND CONCRETE PAVEMENT. |
Location Description | RIVERSIDE COUNTY IN CORONA AND EASTVALE FROM 0.5 MILE SOUTH OF ONTARIO AVENUE UNDERCROSSING TO ROUTE 60/15 SEPARATION |
QA Service Level | 1 (Verified on 03/30/2021) |
Sample Information
Sample Taken Date | 06/10/2022 | Sample Unique Key | 28 |
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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 | 06/17/2022 |
Sample type | Department Acceptance | A brief description of the sample | 1/2" RHMA-G-SP 1.0% LAS |
The quantity of what the sample constitutes | 2 Boxes HMA 123.29 tons out | From where was the sample collected | Manufacturer |
First name of sampler or witnessed by | Ruben | Last name of sampler or witnessed by | Lopez |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | 0376G-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 | 1/2 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: 2022-06-10-28-1 AASHTO T308-10 (Verified)