Sample Record
Owner Lab
- CT D07 - Materials Field Laboratory, Unit 1953
DIME Sample ID 2023-03-23-21
Project Information
Project Identifiers | Project ID: 993491 DEA: 07336504 EFIS: 0716000401 |
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DIST-CO-RTE-PM | 07-LA-110-3.9/5.9 |
Award Date | 03/08/2022 |
Closeout Date | Not set |
Work Description | PLACE STAMPED CONCRETE, CONSTRUCT MVPS AND ACCESS ROADS. |
Location Description | LOS ANGELES COUNTY IN AND NEAR LOS ANGELES AND CARSON AT VARIOUS LOCATIONS FROM 0.2 MILE SOUTH OF ROUTE 110/1 SEPARATION TO 0.4 MILE NORTH OF SEPULVEDA BOULEVARD UNDERCROSSING. |
QA Service Level | 1 (Verified on 04/19/2022) |
Sample Information
Sample Taken Date | 03/23/2023 | Sample Unique Key | 21 |
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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 | 03/29/2023 |
Sample type | Acceptance | A brief description of the sample | 3/4" hma - a220831 sva sjr |
The quantity of what the sample constitutes | 750 Tons | From where was the sample collected | Job Site |
First name of sampler or witnessed by | c | Last name of sampler or witnessed by | Acevedo |
Title of sampler | calmen eng | Telephone number of sampler | |
Laboratory sample identification | 23-036 | Linked DIME Sample ID | |
The fabricator/manufacturer/facility name | Vulcan Materials Irwindale | Transportation Laboratory (TL) Number | na |
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 |
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HMA Grading | 3/4 inch | Lot number | 1 |
Sublot number | HMA Mix Number |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2023-03-23-21-1 AASHTO T275-07r12 (Verified)