Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 208973 DEA: 120H1004 EFIS: 1200000180 COOP: 120670
QA Service Level: 1
DIST-CO-RTE-PM: 12-ORA-405,73,405,605-9.3/24.3
Work Description: (Alternative Delivery) San Diego Freeway (I-405) Improvement Project SR-73 to I-605, Design Build Project, Administered by Orange County Transportation Authority, Caltrans METS to perform Source Inspection per RFP.
Location Description: Orange and Los Angeles Counties: 12-ORA-405 PM 9.3/24.2 / 07-LA-405 PM 0.0/1.2 12-ORA-22 PM R0.7/R3.8 / 12-ORA-22 PM R0.5/R0.7 12-ORA-73 PM R27.2/R27.8 / 12-ORA-605 PM 3.5/R1.6 07-LA-605 PM R0.0/R1.2
Contractor Name: OC 405 Partners
Contractor Address: 3100 W Lake Center Dr, Santa Ana, CA 92704
Resident Engineer: Hank Alonso (reports) Structure Rep.: Alex Angha (reports)
DIME Sample ID: 2021-02-19-34
TL Number from the TL Form:
Sample Submitted By Organization: CT D08 - Fontana Southern Regional Laboratory
Sample Organization Contact: 213-792-4794
Type of Sample: Verification
Type of Material: Asphalt Binder
Sample Taken Date: 02/19/2021
Date that the sample was received by the laboratory/organization performing the testing: 02/23/2021
The quantity of what the sample constitutes: 2 Quart cans
A brief description of the sample: PG64-10
From where was the sample collected: Fabricator
Laboratory sample identification: 0152A-21
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: AAA-Corona
Performance Grade: PG 64-10
Modified: No
Lot number:
Sublot number:
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Time of sample:
HMA Supplier: AAA-Corona
Certified Asphalt Supplier: San Joaquin Refinery - Bakersfield CA
Multigrade:
Multigrade Type:
Asphalt Binder Mix Number: