Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2024-02-26-10
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 993153 DEA: 120H0474 EFIS: 1212000053 |
|---|---|
| DIST-CO-RTE-PM | 12-ORA-241-27.8/38.0 |
| Award Date | 10/21/2021 |
| Closeout Date | Not set |
| Work Description | PLACE HMA AND PERFORATED PLASTIC PIPE UNDERDRAIN. |
| Location Description | ORANGE COUNTY AT VARIOUS LOCATIONS FROM 0.1 MILE NORTH OF ROUTE 133 TO 0.5 MILE SOUTH OF ROUTE 91 |
| QA Service Level | 1 (Verified on 08/02/2021) |
Sample Information
| Sample Taken Date | 02/26/2024 | Sample Unique Key | 10 |
|---|---|---|---|
| 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 | 02/28/2024 |
| Sample type | Verification | A brief description of the sample | 1" HMA-O-SP |
| The quantity of what the sample constitutes | 6 BAGS OF COMBINED AGGREAGATE, 8 QTS OG PG64-10 | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | QC | Last name of sampler or witnessed by | QC |
| Title of sampler | QC | Telephone number of sampler | |
| Laboratory sample identification | 0125-24 | 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 | OGFC |
|---|---|---|---|
| HMA Grading | 1 inch | Lot number | |
| Sublot number | HMA Mix Number | 220835 CORD SJR |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||