Sample Record
Owner Lab
- CT D12 - Huntington Beach Field Laboratory
DIME Sample ID 2023-05-18-41
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 993631 DEA: 120S8904 EFIS: 1221000058 |
|---|---|
| DIST-CO-RTE-PM | 12-ORA-1-R0.1/R1.0 |
| Award Date | 05/02/2022 |
| Closeout Date | 09/07/2023 |
| Work Description | COLD PLANE AC PAVEMENT AND PLACE RHMA. |
| Location Description | ORANGE COUNTY IN DANA POINT AND SAN JUAN CAPISTRANO FROM ROUTE 5/1 SEPARATION TO SAN JUAN CREEK BRIDGE |
| QA Service Level | 1 (Verified on 03/21/2022) |
Sample Information
| Sample Taken Date | 05/18/2023 | Sample Unique Key | 41 |
|---|---|---|---|
| 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 | 05/22/2023 |
| Sample type | Quality Assurance | A brief description of the sample | 3/4 HMA-A |
| The quantity of what the sample constitutes | 100 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 | 23-0439 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | RJ 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 | Type A HMA |
|---|---|---|---|
| HMA Grading | 3/4 inch | Lot number | |
| Sublot number | HMA Mix Number | 36R2508SPWEO |
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 |
|---|---|---|---|
| 23-0439-HMA-A-36R2508SPWEO | 05/22/2023 | Info |