Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2023-08-14-52
Project Information
Project Identifiers | Project ID: 995081 DEA: 081P3204 |
---|---|
DIST-CO-RTE-PM | 08--- |
Award Date | Not set |
Closeout Date | Not set |
Work Description | Not set |
Location Description | Not set |
QA Service Level | 1 (Verified on 11/30/2023) |
Sample Information
Sample Taken Date | 08/14/2023 | Sample Unique Key | 52 |
---|---|---|---|
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 | 08/18/2023 |
Sample type | Department Acceptance | A brief description of the sample | 3/4" HMA-A SP-R15 0.5% LAS |
The quantity of what the sample constitutes | 4 BOXES OF HMA | From where was the sample collected | Manufacturer |
First name of sampler or witnessed by | Vulcan | Last name of sampler or witnessed by | QC |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | 0421A-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 |
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No results found. |
Test File Attachments
DIME Test ID: 2023-08-14-52-1 AASHTO T308-10 (Verified)