Sample Record
Owner Lab
- CT D12 - Huntington Beach Field Laboratory
DIME Sample ID 2022-09-13-44
Sample Details QR Code
Scan this code to open this Sample Details view on another device.
Project Information
| Project Identifiers | Project ID: 993593 DEA: 120S8804 EFIS: 1221000057 |
|---|---|
| DIST-CO-RTE-PM | 12-ORA-57-14.7/22.5 |
| Award Date | 04/19/2022 |
| Closeout Date | 12/13/2022 |
| Work Description | INSTALL INDIVIDUAL SLAB REPLACEMENT, RHMA AND TRAFFIC STRIPES. |
| Location Description | ORANGE COUNTY FROM LINCOLN AVENUE OVERCROSSING IN ANAHEIM TO LOS ANGELES COUNTY LINE IN BREA |
| QA Service Level | 1 (Verified on 03/21/2022) |
Sample Information
| Sample Taken Date | 09/13/2022 | Sample Unique Key | 44 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | No | Date that the sample was received by the laboratory/organization performing the testing | 09/13/2022 |
| Sample type | Acceptance | A brief description of the sample | 3/4" RHMA-G, 3 Bags Aggregate, and 3 Quart Oil Can |
| The quantity of what the sample constitutes | 16 Boxes RHMA-G, 3 Bags Aggregate, and 3 Quart Oil Can | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Cuong | Last name of sampler or witnessed by | Pham |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | 22-0860 | 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 |
|---|---|---|---|
| HMA Grading | 3/4 inch | Lot number | |
| Sublot number | HMA Mix Number | 106835 |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||