Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2023-09-26-64

Project Information

Project IdentifiersProject ID: 994599
DEA: 081N1604
DIST-CO-RTE-PM08-SBD-40-R20.0/R28.1
Award Date05/24/2023
Closeout DateNot set
Work DescriptionRHMA, HIGH DENSITY POLYURETHANE INJECTION, AND COLD PLANE AC PVMT.
Location DescriptionSAN BERNARDINO COUNTY NEAR BARSTOW FROM 0.3 MILE WEST OF NEWBERRY ROAD OVERCROSSING TO DESERT OASIS REST AREA
QA Service Level1 (Verified on 08/14/2023)

Sample Information

Sample Taken Date09/26/2023 Sample Unique Key64
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 testing10/18/2023
Sample typeDepartment Acceptance A brief description of the sample 100% RAP HMA
The quantity of what the sample constitutes3 BOXES OF 100% RAP HMA From where was the sample collectedManufacturer
First name of sampler or witnessed byMAI HYRAP Last name of sampler or witnessed byQC
Title of sampler Telephone number of sampler
Laboratory sample identification0526-23 Linked DIME Sample ID
The fabricator/manufacturer/facility nameCOLTON 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 TypeNot Applicable
HMA GradingNot Applicable Lot number
Sublot number HMA Mix Number203

Submitted Tests

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

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Test File Attachments