Sample Record
Owner Lab
- CT D12 - Huntington Beach Field Laboratory
DIME Sample ID 2022-09-12-60
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 993592 DEA: 120S8704 EFIS: 1221000056 |
|---|---|
| DIST-CO-RTE-PM | 12-ORA-55-0.2/T2.4 |
| Award Date | 04/21/2022 |
| Closeout Date | 12/28/2022 |
| Work Description | COLD PLANE AC PAVEMENT AND PLACE RHMA-G. |
| Location Description | ORANGE COUNTY IN NEWPORT BEACH AND COSTA MESA FROM JUNCTION ROUTE 1 TO 0.4 MILE NORTH OF 19TH STREET |
| QA Service Level | 1 (Verified on 03/21/2022) |
Sample Information
| Sample Taken Date | 09/12/2022 | Sample Unique Key | 60 |
|---|---|---|---|
| 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 | 09/12/2022 |
| Sample type | Acceptance | A brief description of the sample | 1/2-inch RHMA-G |
| 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 | Jimmy | Last name of sampler or witnessed by | Pham |
| Title of sampler | Telephone number of sampler | 7143835800 | |
| Laboratory sample identification | 22-0856 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Vulcan Materials | 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 | 1/2 inch | Lot number | |
| Sublot number | HMA Mix Number | 326120A IRW LTR |
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. | |||