Sample Record
Owner Lab
- CT D12 - Huntington Beach Field Laboratory
DIME Sample ID 2022-10-28-7
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 993530 DEA: 120S8604 EFIS: 1221000055 |
|---|---|
| DIST-CO-RTE-PM | 12-ORA-39-0.0/3.2 |
| Award Date | 03/08/2022 |
| Closeout Date | 05/02/2023 |
| Work Description | COLD PLANE AC PAVEMENT AND PLACE RHMA. |
| Location Description | ORANGE COUNTY IN HUNTINGTON BEACH FROM ROUTE 1 TO ELLIS AVENUE/MAIN STREET |
| QA Service Level | 1 (Verified on 01/25/2022) |
Sample Information
| Sample Taken Date | 10/28/2022 | Sample Unique Key | 7 |
|---|---|---|---|
| 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 | 10/28/2022 |
| Sample type | Quality Assurance | A brief description of the sample | 1/2" RWMA-G-SP |
| The quantity of what the sample constitutes | 3 boxes of RWMA-G 1 bag Of Virgin Agg | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Sam | Last name of sampler or witnessed by | Jamyari |
| Title of sampler | Lab Technician | Telephone number of sampler | 9492794998 |
| Laboratory sample identification | 22-1096 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | AAA Irvine | 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 | 108836 |
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 |
|---|---|---|---|
| ALL AMERICAN ASPHALT | 10/28/2022 | Info |