Sample Record
Owner Lab
- CT D12 - Huntington Beach Field Laboratory
DIME Sample ID 2022-11-21-13
Project Information
Project Identifiers | Project ID: 994283 DEA: 120T7404 EFIS: 1222000092 |
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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 | Oso Creek Channel |
QA Service Level | 1 (Verified on 07/07/2023) |
Sample Information
Sample Taken Date | 11/21/2022 | Sample Unique Key | 13 |
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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 | 11/21/2022 |
Sample type | Quality Assurance | A brief description of the sample | 2 boxes HMA-A, 1 Aggregate bag, 1 RAP bag |
The quantity of what the sample constitutes | 400 tons out | 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 | 22-1172 | Linked DIME Sample ID | |
The fabricator/manufacturer/facility name | Vulcan 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 | 1 |
Sublot number | 1 | 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 |
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No results found. |