Sample Record
Owner Labs
- Smith-Emery SRL
- CT D12 - Huntington Beach Field Laboratory
DIME Sample ID 2022-11-17-12
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 994283 DEA: 120T7404 EFIS: 1222000092 |
|---|---|
| DIST-CO-RTE-PM | 12-ORA-73-10.75/11 |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | Repair Failed Pavement, install subsurface drainage |
| Location Description | Not set |
| QA Service Level | 1 (Verified on 07/07/2023) |
Sample Information
| Sample Taken Date | 11/17/2022 | Sample Unique Key | 12 |
|---|---|---|---|
| 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 | 11/17/2022 |
| Sample type | Acceptance | A brief description of the sample | 18 boxes wet HMA, 2 bag Aggregate, 2 bag RAP & 3 quarts oil cans |
| The quantity of what the sample constitutes | 600 TONS | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | JIMMY CUONG | Last name of sampler or witnessed by | PHAM |
| Title of sampler | Lab Technician | Telephone number of sampler | 9492798487 |
| Laboratory sample identification | 22-1162 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | VULCAN MATERIALS/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 | Type A HMA |
|---|---|---|---|
| HMA Grading | 3/4 inch | Lot number | |
| Sublot number | HMA Mix Number | 220831 |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||