Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2024-08-12-27
Project Information
Project Identifiers | Project ID: 994147 DEA: 120R4104 EFIS: 1218000090 |
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DIST-CO-RTE-PM | 12-ORA-1-17.4/21.5 |
Award Date | 09/27/2022 |
Closeout Date | Not set |
Work Description | COLD PLANE AC AND PLACE RHMA-G. |
Location Description | ORANGE COUNTY IN NEWPORT BEACH FROM JAMBOREE ROAD TO SANTA ANA RIVER BRIDGE |
QA Service Level | 1 (Verified on 06/28/2023) |
Sample Information
Sample Taken Date | 08/12/2024 | Sample Unique Key | 27 |
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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 | 08/14/2024 |
Sample type | Production Start-Up | A brief description of the sample | 3/4" RHMA G SP .25% EVO |
The quantity of what the sample constitutes | 20 BOXES RHMA, 3 BAGS COMB AGG, 1 BAG CRM, 1 BAG HN, 4 QTS VGN OIL, 4 QTS RB OIL, 1 QT EVO | From where was the sample collected | Manufacturer |
First name of sampler or witnessed by | RJ NOBLE | Last name of sampler or witnessed by | QC |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | 0399G-24 | Linked DIME Sample ID | |
The fabricator/manufacturer/facility name | RJ Noble, Orange CA | 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 | |
Sublot number | HMA Mix Number | 49R003ARSPWEO |
Submitted Tests
DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
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No results found. |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |