Sample Record

Owner Labs

  • Smith-Emery SRL
  • CT D12 - Huntington Beach Field Laboratory

DIME Sample ID 2022-11-17-12

Project Information

Project IdentifiersProject ID: 994283
DEA: 120T7404
EFIS: 1222000092
Award DateNot set
Closeout DateNot set
Work DescriptionRepair Failed Pavement, install subsurface drainage
Location DescriptionNot set

Sample Information

Sample Taken Date11/17/2022 Sample Unique Key12
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 testing11/17/2022
Sample typeAcceptance A brief description of the sample18 boxes wet HMA, 2 bag Aggregate, 2 bag RAP & 3 quarts oil cans
The quantity of what the sample constitutes600 TONS From where was the sample collectedManufacturer
First name of sampler or witnessed byJIMMY CUONG Last name of sampler or witnessed byPHAM
Title of samplerLab Technician Telephone number of sampler9492798487
Laboratory sample identification22-1162 Linked DIME Sample ID
The fabricator/manufacturer/facility nameVULCAN MATERIALS/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 Number220831

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
No results found.

Sample File Attachments

File NameExtensionDate UploadedActions
22-1162jpg11/18/2022   Info
22-1162-SAMPLESjpg11/18/2022   Info
22-1162-TL101jpg11/18/2022   Info
22-1162-PSUEpdf11/18/2022   Info

Test File Attachments