Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2023-09-19-40

Project Information

Project IdentifiersProject ID: 994603
DEA: 09392404
EFIS: 0922000037
DIST-CO-RTE-PM09-KER-14,58-Var
Award Date04/21/2023
Closeout Date12/22/2023
Work DescriptionHOT MIX ASPHALT (TYPE A), REMOVE ASPHALT CONCRETE PAVEMENT, STRIPING.
Location DescriptionKERN COUNTY AT VARIOUS LOCATIONS
QA Service Level1 (Verified on 12/22/2023)

Sample Information

Sample Taken Date09/19/2023 Sample Unique Key40
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 testing10/02/2023
Sample typeAcceptance A brief description of the sample3/4" HMA-A R25
The quantity of what the sample constitutes4 boxes of hma From where was the sample collectedManufacturer
First name of sampler or witnessed byELI DONT Last name of sampler or witnessed byQC
Title of sampler Telephone number of sampler
Laboratory sample identification0501A-23 Linked DIME Sample ID
The fabricator/manufacturer/facility nameGranite, Arvin 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 Number1468

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Test File Attachments