Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2024-08-16-27
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 995291 DEA: 081N2504 EFIS: 0822000125 |
|---|---|
| DIST-CO-RTE-PM | 08-RIV-15,60,91,215-Var |
| Award Date | 05/08/2024 |
| Closeout Date | Not set |
| Work Description | POLYESTER CONC OVERLAY, CLEAN EXP JT, DECK SEAL & HMA (BRIDGE). |
| Location Description | RIVERSIDE COUNTY AT VARIOUS LOCATIONS |
| QA Service Level | 1 (Verified on 10/31/2023) |
Sample Information
| Sample Taken Date | 08/16/2024 | Sample Unique Key | 27 |
|---|---|---|---|
| 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 | 08/20/2024 |
| Sample type | Verification | A brief description of the sample | 3/4" HMA A SP R15 |
| The quantity of what the sample constitutes | 30 BOX HMA 4, BAGS COMB AGG, 2 BAGS COMB RAP, 4 QTS 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 | Telephone number of sampler | ||
| Laboratory sample identification | 0417A-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. | |||