Sample Record
Owner Lab
- CT D12 - Huntington Beach Field Laboratory
DIME Sample ID 2023-07-05-17
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 994749 DEA: 120T6504 EFIS: 1222000075 |
|---|---|
| DIST-CO-RTE-PM | 12-ORA-57-11.5/18.6 |
| Award Date | 01/12/2023 |
| Closeout Date | 02/02/2024 |
| Work Description | Cold plane AC Pavement and place RHMA. |
| Location Description | FOR CONSTRUCTION ON STATE HIGHWAY IN ORANGE COUNTY IN ORANGE, ANAHEIM, PLACENTIA, AND FULLERTON FROM 0.2 MILE SOUTH OF ORANGEWOOD AVENUE UNDERCROSSING TO 0.3 MILE NORTH OF YORBA LINDA BOULEVARD OVERCROSSING AT VARIOUS LOCATIONS |
| QA Service Level | 1 (Verified on 07/07/2023) |
Sample Information
| Sample Taken Date | 07/05/2023 | Sample Unique Key | 17 |
|---|---|---|---|
| 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 | 07/06/2023 |
| Sample type | Quality Assurance | A brief description of the sample | 1/2" RHMA-G |
| The quantity of what the sample constitutes | 1000 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 | 23-0626 | 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 | RHMA-G |
|---|---|---|---|
| HMA Grading | 1/2 inch | Lot number | |
| Sublot number | HMA Mix Number | 50R003ARSWEO |
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 |
|---|---|---|---|
| 23-0626-RHMA-G-50R003ARSPWEO | 07/07/2023 | Info |