Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2023-06-25-15
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 215109 DEA: 081C8504 EFIS: 0813000047 |
|---|---|
| DIST-CO-RTE-PM | 08-RIV-74-0.0/5.8 |
| Award Date | 11/12/2020 |
| Closeout Date | 06/02/2025 |
| Work Description | ROADWAY EXCAVATION, HOT MIX ASPHALT, AND STRUCTURAL SHOTCRETE WALLS. |
| Location Description | RIVERSIDE COUNTY NEAR LAKE ELSINORE FROM ORANGE COUNTY LINE TO MONTE VISTA STREET |
| QA Service Level | 1 (Verified on 02/24/2021) |
Sample Information
| Sample Taken Date | 06/25/2023 | Sample Unique Key | 15 |
|---|---|---|---|
| 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 | 06/28/2023 |
| Sample type | Department Acceptance | A brief description of the sample | 3/4" HMA-A-SP R24 0.5% LAS |
| The quantity of what the sample constitutes | 4 boxes of HMA 831 tons out | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Joe | Last name of sampler or witnessed by | QC |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | 0337A-23 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | CCA-Lake Elsinore | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Bid Item | Not set |
Material Information
| Material Type | Hot Mix Asphalt | HMA Type | Type A HMA |
|---|---|---|---|
| HMA Grading | 3/4 inch | Lot number | 1 |
| Sublot number | 50 | HMA Mix Number | 53417615 |
| Binder content (%) | Not set | Virgin binder PG | Not set |
| Design binder PG | Not set | Binder Supplier | Not set |
| RAP content (%) | Not set | WMA Additives | Not set |
| Antistrip type | Not set |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Date Added | Verified? | Release Date | Test Comments | Privacy Level | Actions |
|---|---|---|---|---|---|---|---|---|---|
| No results found. | |||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||