Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2024-05-01-43
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 994600 DEA: 081N1704 EFIS: 0822000107 |
|---|---|
| DIST-CO-RTE-PM | 08-SBD-15-R108.0/R115.0 |
| Award Date | 05/19/2023 |
| Closeout Date | Not set |
| Work Description | RHMA, HIGH DENSITY POLYURETHANE INJECTION & COLD PLANE AC PAVEMENT. |
| Location Description | SAN BERNARDINO COUNTY NEAR BARSTOW FROM 0.6 MILE NORTH OF CLYDE V. KANE REST AREA TO 0.3 MILE SOUTH OF BIRD DITCH BRIDGE |
| QA Service Level | 1 (Verified on 07/19/2023) |
Sample Information
| Sample Taken Date | 05/01/2024 | Sample Unique Key | 43 |
|---|---|---|---|
| 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 | 05/03/2024 |
| 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-G, 1QT 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 | 0218G-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 |
|---|---|---|---|
| HMA Grading | 3/4 inch | Lot number | 1 |
| Sublot number | 16 | HMA Mix Number | 300072 LSM |
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. | |||