Sample Record
Owner Lab
- CT D12 - Huntington Beach Field Laboratory
DIME Sample ID 2023-08-04-40
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Project Information
| Project Identifiers | Project ID: 213749 DEA: 120C1104 EFIS: 1200000633 |
|---|---|
| DIST-CO-RTE-PM | 12-ORA-57-20.3/21.6 |
| Award Date | 04/19/2019 |
| Closeout Date | 05/28/2024 |
| Work Description | SR-57 Lambert Interchange Project: WIDEN BRIDGES AND CONSTRUCT RW, SW, HMA, JPCP AND ELECTRICAL SYSTEMS. |
| Location Description | ORANGE COUNTY IN BREA FROM 0.6 MILE SOUTH TO 0.7 MILE NORTH OF LAMBERT ROAD UNDERCROSSING |
| QA Service Level | 1 (Verified on 05/31/2019) |
Sample Information
| Sample Taken Date | 08/04/2023 | Sample Unique Key | 40 |
|---|---|---|---|
| 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 | 08/08/2023 |
| Sample type | Quality Assurance | A brief description of the sample | 3/4 HMA-SP Type A |
| The quantity of what the sample constitutes | 600 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 | 23-0758 | 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 | 220831 |
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 |
|---|---|---|---|
| 23-0758-HMA-A-220831-12-0C1104 | 08/08/2023 | Info |