Sample Record

Owner Lab

  • CT D12 - Huntington Beach Field Laboratory

DIME Sample ID 2023-09-20-35

Project Information

Project IdentifiersProject ID: 993153
DEA: 120H0474
EFIS: 1212000053
DIST-CO-RTE-PM12-ORA-241-27.8/38.0
Award Date10/21/2021
Closeout DateNot set
Work DescriptionPLACE HMA AND PERFORATED PLASTIC PIPE UNDERDRAIN.
Location DescriptionORANGE COUNTY AT VARIOUS LOCATIONS FROM 0.1 MILE NORTH OF ROUTE 133 TO 0.5 MILE SOUTH OF ROUTE 91
QA Service Level1 (Verified on 08/02/2021)

Sample Information

Sample Taken Date09/20/2023 Sample Unique Key35
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 testing09/25/2023
Sample typeQuality Assurance A brief description of the sample3/4 HMA-A
The quantity of what the sample constitutes1000 TONS From where was the sample collectedManufacturer
First name of sampler or witnessed byJIMMY CUONG Last name of sampler or witnessed byPHAM
Title of samplerLab Technician Telephone number of sampler9492798487
Laboratory sample identification23-0978 Linked DIME Sample ID
The fabricator/manufacturer/facility nameVULCAN - CORONA Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeHot Mix Asphalt HMA TypeType A HMA
HMA Grading3/4 inch Lot number
Sublot number HMA Mix Number220200

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
No results found.

Sample File Attachments

File NameExtensionDate UploadedActions
23-0978-HMA-220200-12-0H0474pdf09/25/2023   Info

Test File Attachments