Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2024-04-16-33

Project Information

Project IdentifiersProject ID: 995232
DEA: 120U1704
EFIS: 1223000051
DIST-CO-RTE-PM12-ORA-133,261-9.8/12.6,0.0/3.5
Award Date12/27/2023
Closeout DateNot set
Work DescriptionCOLD PLANE, OVERLAY, AND REFRESH PAVEMENT DELINEATION.
Location DescriptionORANGE COUNTY IN IRVINE ON ROUTE 133 FROM TECHNOLOGY DRIVE UNDERCROSSING TO PORTOLA PARKWAY UNDERCROSSING AND ON ROUTE 261 FROM WALNUT AVENUE OVERCROSSING TO 0.6 MILE NORTH OF PORTOLA PARKWAY OVERCROSSING
QA Service Level1 (Verified on 10/16/2023)

Sample Information

Sample Taken Date04/16/2024 Sample Unique Key33
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 testing04/23/2024
Sample typeProduction Start-Up A brief description of the sample1/2" RHMA-G-SP
The quantity of what the sample constitutes20 BOXES OF HMA From where was the sample collectedManufacturer
First name of sampler or witnessed byCUONG Last name of sampler or witnessed byPHAM
Title of sampler Telephone number of sampler
Laboratory sample identification0185G-24 Linked DIME Sample ID
The fabricator/manufacturer/facility nameAll American Asphalt Corona 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 TypeRHMA-G
HMA Grading1/2 inch Lot number
Sublot number HMA Mix Number106836

Submitted Tests

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