Sample Record
Owner Lab
- CT D12 - Huntington Beach Field Laboratory
DIME Sample ID 2023-12-08-21
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 214344 DEA: 120P42U4 EFIS: 1216000097 |
|---|---|
| DIST-CO-RTE-PM | 12-ORA-5,22,55,57,91,405-Var |
| Award Date | 09/15/2020 |
| Closeout Date | Not set |
| Work Description | Upgrade and install Intelligent Transportation System (ITS) elements |
| Location Description | ORANGE COUNTY |
| QA Service Level | 1 (Verified on 10/27/2020) |
Sample Information
| Sample Taken Date | 12/08/2023 | Sample Unique Key | 21 |
|---|---|---|---|
| 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 | 12/12/2023 |
| Sample type | Quality Assurance | A brief description of the sample | 3/4" HMA-A |
| The quantity of what the sample constitutes | 80 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 | 23-1330 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | VULCAN - CORONA | 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 | 2 |
| Sublot number | 2 | HMA Mix Number | 220831 |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||