Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2024-03-27-27
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 215314 DEA: 07333004 EFIS: 0716000298 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-5,5-15.1/22.9 |
| Award Date | 10/20/2022 |
| Closeout Date | Not set |
| Work Description | PROJECT PILOT 1 |
| Location Description | LOS ANGELES COUNTY IN AND NEAR LOS ANGELES ON ROUTE 5 FROM 0.1 MILE SOUTH OF CALZONA STREET TO 0.1 MILE SOUTH OF RIVERSIDE DRIVE AND ROUTE 2 AT LOS ANGELES REGIONAL TRANSPORTATION MANAGEMENT CENTER |
| QA Service Level | 1 (Verified on 07/12/2021) |
Sample Information
| Sample Taken Date | 03/27/2024 | Sample Unique Key | 27 |
|---|---|---|---|
| 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 | 03/29/2024 |
| Sample type | Production Start-Up | A brief description of the sample | 3/4" HMA-A-SP R15 |
| The quantity of what the sample constitutes | 14 BOXES OF HAMA, 4 BAGS AGGS, 2 BAGS OF RAP, 4 QTS OF OIL | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | AVO | Last name of sampler or witnessed by | KARAJIAN |
| Title of sampler | TET | Telephone number of sampler | |
| Laboratory sample identification | 0152A-24 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | AAA-CORONA QUARRY/SJR | 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 | 105793 |
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. | |||