Sample Record
Owner Lab
- CT D12 - Huntington Beach Field Laboratory
DIME Sample ID 2023-04-24-11
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 993511 DEA: 120R2004 EFIS: 1218000065 |
|---|---|
| DIST-CO-RTE-PM | 12-ORA-5-0.0/2.0 |
| Award Date | 04/14/2022 |
| Closeout Date | Not set |
| Work Description | PLACE PRECAST CONCRETE PAVEMENT AND REPLACE CONCRETE SLAB. |
| Location Description | ORANGE COUNTY IN SAN CLEMENTE FROM ORANGE COUNTY LINE TO 0.4 MILE NORTH OF EL CAMINO REAL UNDERCROSSING |
| QA Service Level | 1 (Verified on 01/24/2022) |
Sample Information
| Sample Taken Date | 04/24/2023 | Sample Unique Key | 11 |
|---|---|---|---|
| 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 | 04/25/2023 |
| Sample type | Quality Assurance | A brief description of the sample | RHMA-G |
| The quantity of what the sample constitutes | 580 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 | 23-0341 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | R.J.NOBLE-ORANGE | 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 | RHMA-G |
|---|---|---|---|
| HMA Grading | 3/4 inch | Lot number | |
| Sublot number | HMA Mix Number | 49R003ARSPWEO |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| 23-0341-HMA-49R003ARSPWEO | 04/25/2023 | Info |