Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2024-04-17-59
Project Information
Project Identifiers | Project ID: 994599 DEA: 081N1604 EFIS: 0822000106 |
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DIST-CO-RTE-PM | 08-SBD-40-R20.0/R28.1 |
Award Date | 05/24/2023 |
Closeout Date | 08/30/2024 |
Work Description | RHMA, HIGH DENSITY POLYURETHANE INJECTION, AND COLD PLANE AC PVMT. |
Location Description | SAN BERNARDINO COUNTY NEAR BARSTOW FROM 0.3 MILE WEST OF NEWBERRY ROAD OVERCROSSING TO DESERT OASIS REST AREA |
QA Service Level | 1 (Verified on 08/14/2023) |
Sample Information
Sample Taken Date | 04/17/2024 | Sample Unique Key | 59 |
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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 | 04/26/2024 |
Sample type | Department Acceptance | A brief description of the sample | 3/4" RHMA-G-SP, 1.0% LSM |
The quantity of what the sample constitutes | 2 BOXES OF RHMA, 1QT OF PG64-16, 1QT BLENDED | From where was the sample collected | Manufacturer |
First name of sampler or witnessed by | FRANCISCO | Last name of sampler or witnessed by | RUVALCABA |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | 0195G-24 | Linked DIME Sample ID | |
The fabricator/manufacturer/facility name | Blue Diamond Materials-Victorville | 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 | RHMA-G |
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HMA Grading | 3/4 inch | Lot number | 1 |
Sublot number | 24 | HMA Mix Number | 300072 LSM |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2024-04-17-59-1 AASHTO T308-10 (Verified)