Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2023-09-28-52
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Project Information
| Project Identifiers | Project ID: 993815 DEA: 081C0814 EFIS: 0816000086 |
|---|---|
| DIST-CO-RTE-PM | 08-RIV-10-R60.7/R74.3 |
| Award Date | 03/28/2022 |
| Closeout Date | Not set |
| Work Description | I-10 PAVEMENT REHABILITATION (SEGMENT 1) PROJECT |
| Location Description | Coachella |
| QA Service Level | 1 (Verified on 05/03/2022) |
Sample Information
| Sample Taken Date | 09/28/2023 | 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 | 10/04/2023 |
| Sample type | Department Acceptance | A brief description of the sample | 3/4" HMA-A-SP R24 0.5% LAS |
| The quantity of what the sample constitutes | 3 BOXES OF HMA | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Hector | Last name of sampler or witnessed by | QC |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | 0507A-23 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | MM-COACHELLA | 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 | 43417155 |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2023-09-28-52-1 AASHTO T308-10 (Verified)