Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2023-06-30-11
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 993582 DEA: 081L8404 EFIS: 0820000169 |
|---|---|
| DIST-CO-RTE-PM | 08-SBD-138-R15.3/r17.1 |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | INSTALL GROUND-IN CENTERLINE AND SHOULDER RUMBLE STRIP |
| Location Description | Not set |
| QA Service Level | 1 (Verified on 02/21/2022) |
Sample Information
| Sample Taken Date | 06/30/2023 | 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 | 07/03/2023 |
| Sample type | Department Acceptance | A brief description of the sample | 3/4" HMA-A-SP R15 0.50% LAS |
| The quantity of what the sample constitutes | 2 boxes of HMA 57.92 tons out | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Richard | Last name of sampler or witnessed by | QC |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | 0350A-23 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Vulcan Corona | 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 | 224112 CORD SJR |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2023-06-30-11-1 AASHTO T308-10 (Verified)