Sample Record
Owner Lab
- CT D12 - Huntington Beach Field Laboratory
DIME Sample ID 2023-09-08-25
Sample Details QR Code
Scan this code to open this Sample Details view on another device.
Project Information
| Project Identifiers | Project ID: 994620 DEA: 120T6304 EFIS: 1222000073 |
|---|---|
| DIST-CO-RTE-PM | 12-ORA-39-3.2/5.8 |
| Award Date | 06/12/2023 |
| Closeout Date | 06/18/2024 |
| Work Description | COLD PLANE AC PVMT AND PLACE RHMA. |
| Location Description | ORANGE COUNTY IN HUNTINGTON BEACH FROM ELLIS AVENUE/MAIN STREET TO STARK DRIVE |
| QA Service Level | 1 (Verified on 07/07/2023) |
Sample Information
| Sample Taken Date | 09/08/2023 | Sample Unique Key | 25 |
|---|---|---|---|
| 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 | 09/13/2023 |
| Sample type | Quality Assurance | A brief description of the sample | 3/4" HMA |
| The quantity of what the sample constitutes | 1500 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 | 23-0919 | 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 | Type A HMA |
|---|---|---|---|
| HMA Grading | 3/4 inch | Lot number | |
| Sublot number | HMA Mix Number | 36R2503SPWE0 |
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 |
|---|---|---|---|
| 23-0919-HMA-36R2503SPWE0-12-0T6304 | 09/15/2023 | Info |