Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2024-07-15-37
Sample Details QR Code
Scan this code to open this Sample Details view on another device.
Project Information
| Project Identifiers | Project ID: 1000213 DEA: 120S1904 EFIS: 1219000104 |
|---|---|
| DIST-CO-RTE-PM | 12-ORA-22-R11.6/R12.5 |
| Award Date | 06/06/2024 |
| Closeout Date | Not set |
| Work Description | AUXILIARY LANE EXTENSION. |
| Location Description | ORANGE COUNTY IN SANTA ANA AND ORANGE FROM 0.1 MILE WEST OF SANTIAGO CREEK TO 0.2 MILE EAST OF CAMBRIDGE STREET OVERCROSSING |
| QA Service Level | 1 (Verified on 05/28/2024) |
Sample Information
| Sample Taken Date | 07/15/2024 | Sample Unique Key | 37 |
|---|---|---|---|
| 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 | 07/19/2024 |
| Sample type | Verification | A brief description of the sample | 3/4" HMA-A-SP R15 NO LAS |
| The quantity of what the sample constitutes | 30 BOXES OF HMA, 4 BAGS OF COMBINED AAG, 2 BAGS OF COMBINED RAP, 4 QTS OF PG64-10 | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | VICTOR | Last name of sampler or witnessed by | CAPACETE |
| Title of sampler | QC | Telephone number of sampler | |
| Laboratory sample identification | 0336A-24 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | AAA- 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 | 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. | |||