Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2022-08-10-26

Project Information

Project IdentifiersProject ID: 993535
DEA: 081M1104
EFIS: 0821000078
DIST-CO-RTE-PM08-SBD-215-10.0/17.2
Award Date03/14/2022
Closeout Date12/05/2022
Work DescriptionHMA, COLD PLANE AC PAVEMENT, AND TRAFFIC STRIPE TAPE.
Location DescriptionSAN BERNARDINO COUNTY?FROM 0.1 MILE NORTH OF 27TH STREET TO 0.1 MILE SOUTH OF DEVORE ROAD
QA Service Level1 (Verified on 02/21/2022)

Sample Information

Sample Taken Date08/10/2022 Sample Unique Key26
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 testing08/17/2022
Sample typeAcceptance A brief description of the sample3/4" HMA-A-SP 0.5% LAS
The quantity of what the sample constitutes2 Boxes HMA, 1 Qt PG64-28M 801.43 tons out From where was the sample collectedManufacturer
First name of sampler or witnessed byVulcan Last name of sampler or witnessed byQC
Title of sampler Telephone number of sampler
Laboratory sample identification0557A-22 Linked DIME Sample ID
The fabricator/manufacturer/facility nameVulcan San Bernardino Portable Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeHot Mix Asphalt HMA TypeType A HMA
HMA Grading3/4 inch Lot number
Sublot number HMA Mix NumberNot set

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Test File Attachments