Sample Record

Owner Lab

  • CT D12 - Huntington Beach Field Laboratory

DIME Sample ID 2023-06-29-19

Project Information

Project IdentifiersProject ID: 208973
DEA: 120H1004
EFIS: 1200000180
COOP: 120670
Award Date11/07/2016
Closeout DateNot set
Work Description(Alternative Delivery) San Diego Freeway (I-405) Improvement Project SR-73 to I-605, Design Build Project, Administered by Orange County Transportation Authority, Caltrans METS to perform Source Inspection per RFP.
Location DescriptionOrange and Los Angeles Counties: 12-ORA-405 PM 9.3/24.2 / 07-LA-405 PM 0.0/1.2 12-ORA-22 PM R0.7/R3.8 / 12-ORA-22 PM R0.5/R0.7 12-ORA-73 PM R27.2/R27.8 / 12-ORA-605 PM 3.5/R1.6 07-LA-605 PM R0.0/R1.2
QA Service Level1 (Verified on 09/10/2015)

Sample Information

Sample Taken Date06/29/2023 Sample Unique Key19
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 testing06/29/2023
Sample typeQuality Assurance A brief description of the sample1/2" RHMA-G
The quantity of what the sample constitutes1200 tons From where was the sample collectedSupplier
First name of sampler or witnessed byKreetha Last name of sampler or witnessed byMekchai
Title of samplerPlant Inspector Telephone number of sampler6267645399
Laboratory sample identification23-0612 Linked DIME Sample ID23-0612
The fabricator/manufacturer/facility nameAAA-Corona Transportation Laboratory (TL) Number23-0612
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure nameSB Brookhurst to Talbert

Material Information

Material TypeHot Mix Asphalt HMA TypeRHMA-G
HMA Grading1/2 inch Lot number
Sublot number HMA Mix Number106836

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2023-06-29-19-1AASHTO T30-19: Standard Method of Test for Mechanical Analysis of Extracted Aggregate (Mechanical Analysis)Kreetha Mekchai, CT D12 - Huntington Beach Field Laboratory06/29/2023Kreetha Mekchai

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments

DIME Test ID: 2023-06-29-19-1 AASHTO T30-19 (Verified)
File NameExtensionDate UploadedTest IDActions
20230629_120H1004_23-0612_HMA Lab_Reportpdf06/30/20232023-06-29-19-1   Info