Sample Record

Owner Lab

  • CT D12 - Huntington Beach Field Laboratory

DIME Sample ID 2022-11-28-15

Project Information

Project IdentifiersProject ID: 994283
DEA: 120T7404
EFIS: 1222000092
DIST-CO-RTE-PM12-ORA-73-10.75/11
Award DateNot set
Closeout DateNot set
Work DescriptionRepair Failed Pavement, install subsurface drainage
Location DescriptionOso Creek Channel
QA Service Level1 (Verified on 07/07/2023)

Sample Information

Sample Taken Date11/28/2022 Sample Unique Key15
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 testing11/28/2022
Sample typeQuality Assurance A brief description of the sample2 BOXES OF HMA, 1 RAP & 1 AGGREGATE
The quantity of what the sample constitutes2 boxes 400 tons out 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 identification22-1187 Linked DIME Sample ID
The fabricator/manufacturer/facility nameVulcan 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 number3
Sublot number HMA Mix Number220831

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
No results found.

Sample File Attachments

File NameExtensionDate UploadedActions
22-1187-p1jpg11/29/2022   Info
22-1187-p2jpg11/29/2022   Info
22-1187pdf11/29/2022   Info

Test File Attachments