Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2023-07-18-31
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 994328 DEA: 081H0604 EFIS: 0816000130 |
|---|---|
| DIST-CO-RTE-PM | 08-RIV-74-34.3/45.1 |
| Award Date | 01/03/2023 |
| Closeout Date | Not set |
| Work Description | FIBER OPTIC CABLE SYSTEMS, RHMA, HMA, AND MINOR CONCRETE. |
| Location Description | RIVERSIDE COUNTY IN AND NEAR HEMET FROM WINCHESTER ROAD TO FAIRVIEW AVENUE |
| QA Service Level | 1 (Verified on 08/28/2023) |
Sample Information
| Sample Taken Date | 07/18/2023 | Sample Unique Key | 31 |
|---|---|---|---|
| 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 | 07/20/2023 |
| Sample type | Verification | A brief description of the sample | 3/4" HMA-A-SP R15 |
| The quantity of what the sample constitutes | 30 BOXES | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | VICTOR | Last name of sampler or witnessed by | Capacete |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | 0374A-23 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | AAA-Perris | 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 | 105927 |
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 |
|---|---|---|---|
| No results found. | |||