Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2024-10-09-17
Project Information
| Project Identifiers | Project ID: 995229 DEA: 07355404 EFIS: 0719000010 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-2,210-15.0/57.5,R18.7/R19.4 |
| Award Date | 01/30/2024 |
| Closeout Date | Not set |
| Work Description | REPLACE AND INSTALL DRAINAGE SYSTEM, AND PERFORM SLOPE PAVING. |
| Location Description | LOS ANGELES COUNTY ON ROUTE 2 FROM 1.0 MILE NORTH OF CLIFFORD STREET TO MOUNT WATERMAN SKI LIFTS AND ON ROUTE 210 FROM 0.5 MILE EAST OF OCEAN VIEW BOULVEARD OVERCROSSING TO 0.2 MILE EAST OF ALTA CANYADA ROAD OVERCROSSING |
| QA Service Level | 1 (Verified on 10/19/2023) |
Sample Information
| Sample Taken Date | 10/09/2024 | Sample Unique Key | 17 |
|---|---|---|---|
| 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 | 10/10/2024 |
| Sample type | Verification | A brief description of the sample | 3/4" WMA A R15 .40% EVO |
| The quantity of what the sample constitutes | 16 BX HMA 4 QT PG64-16 1 QT EVO 2 BGS CMB AGG 1 BG CMB RAP | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | DAVID | Last name of sampler or witnessed by | BASSILY |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | 0533A-24 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | AAA-Irwindale | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Bid Item | Not set |
Material Information
| Material Type | Hot Mix Asphalt | HMA Type | Type A HMA |
|---|---|---|---|
| HMA Grading | 3/4 inch | Lot number | |
| Sublot number | HMA Mix Number | 103819 IRW | |
| Binder content (%) | Not set | Virgin binder PG | Not set |
| Design binder PG | Not set | Binder Supplier | Not set |
| RAP content (%) | Not set | WMA Additives | Not set |
| Antistrip type | Not set |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Date Added | Verified? | Release Date | Test Comments | Privacy Level | Actions |
|---|---|---|---|---|---|---|---|---|---|
| No results found. | |||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
