Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2024-09-14-4

Project Information

Project IdentifiersProject ID: 1000266
DEA: 070W6304
EFIS: 0722000332
DIST-CO-RTE-PM07-VEN-33,101,118,126-Var
Award Date06/26/2024
Closeout Date06/09/2025
Work DescriptionMETHACRYLATE, POLYESTER OVERLAY, AND SLOPE REPAIR.
Location DescriptionVENTURA COUNTY AT VARIOUS LOCATIONS
QA Service Level1 (Verified on 04/17/2024)

Sample Information

Sample Taken Date09/14/2024 Sample Unique Key4
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 testing09/17/2024
Sample typeVerification A brief description of the sample3/8 WMA A SP R25 .25% EVO
The quantity of what the sample constitutes24 BOX HMA 4 QTS PG58-16 1 QT EVO 4 BAGS COMB AGG 2 BAGS RAP From where was the sample collectedManufacturer
First name of sampler or witnessed byKEVIN Last name of sampler or witnessed byHOPKINS
Title of sampler Telephone number of sampler
Laboratory sample identification0480A-24 Linked DIME Sample ID
The fabricator/manufacturer/facility namevulcan saticoy Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name Bid ItemNot set

Material Information

Material TypeHot Mix Asphalt HMA TypeType A HMA
HMA Grading3/8 inch Lot number
Sublot number HMA Mix Number420200W SAT SJR
Binder content (%)Not set Virgin binder PGNot set
Design binder PGNot set Binder SupplierNot set
RAP content (%)Not set WMA AdditivesNot set
Antistrip typeNot set

Submitted Tests

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