Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2024-09-30-39

Project Information

Project IdentifiersProject ID: 994968
DEA: 120M82C4
EFIS: 1219000036
DIST-CO-RTE-PM12-ORA-1-7.9/10.5
Award Date12/13/2022
Closeout Date12/01/2025
Work DescriptionPlace RHMA-G and minor concrete and modify electrical system.
Location DescriptionIn Orange County In Laguna Beach, On State Route 1 (Also Known As Pacific Coast Highway Or Sr-1) From Ruby Street (Pm 7.9) To Ledroit
QA Service Level1 (Verified on 07/13/2023)

Sample Information

Sample Taken Date09/30/2024 Sample Unique Key39
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 testing10/03/2024
Sample typeVerification A brief description of the sample3/4" RMA G SP .75% LAS
The quantity of what the sample constitutes20 BX RHMA 4 QT PG64-16 4QT RBR BLND 2 QT LAS 2 QT AM 4 BGS CMB AGG 1 BG HN 1 BG CRM From where was the sample collectedManufacturer
First name of sampler or witnessed byBLUE DIAMOND Last name of sampler or witnessed byQC
Title of sampler Telephone number of sampler
Laboratory sample identification0511G-24 Linked DIME Sample ID
The fabricator/manufacturer/facility nameBlue Diamond- Irwindale 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 TypeRHMA-G
HMA Grading3/4 inch Lot number
Sublot number HMA Mix Number300072 IRW
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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