Sample Record

Owner Lab

  • CT D12 - Huntington Beach Field Laboratory

DIME Sample ID 2022-09-20-44

Project Information

Project IdentifiersProject ID: 993153
DEA: 120H0474
EFIS: 1212000053
DIST-CO-RTE-PM12-ORA-241-27.8/38.0
Award Date10/21/2021
Closeout DateNot set
Work DescriptionPLACE HMA AND PERFORATED PLASTIC PIPE UNDERDRAIN.
Location DescriptionORANGE COUNTY AT VARIOUS LOCATIONS FROM 0.1 MILE NORTH OF ROUTE 133 TO 0.5 MILE SOUTH OF ROUTE 91
QA Service Level1 (Verified on 08/02/2021)

Sample Information

Sample Taken Date09/20/2022 Sample Unique Key44
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 testing09/20/2022
Sample typeAcceptance A brief description of the sample3/4 HMA-A
The quantity of what the sample constitutes16 boxes HMA-A, 2 bags Agg, 1 bag RAP, 2 Quart Oil From where was the sample collectedManufacturer
First name of sampler or witnessed byJimmy Last name of sampler or witnessed byPham
Title of sampler Telephone number of sampler
Laboratory sample identification22-0912 Linked DIME Sample ID
The fabricator/manufacturer/facility nameVulcan Corona 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 Number220200

Submitted Tests

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

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Test File Attachments