Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2024-10-09-17

Project Information

Project IdentifiersProject ID: 995229
DEA: 07355404
EFIS: 0719000010
DIST-CO-RTE-PM07-LA-2,210-15.0/57.5,R18.7/R19.4
Award Date01/30/2024
Closeout DateNot set
Work DescriptionREPLACE AND INSTALL DRAINAGE SYSTEM, AND PERFORM SLOPE PAVING.
Location DescriptionLOS 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 Level1 (Verified on 10/19/2023)

Sample Information

Sample Taken Date10/09/2024 Sample Unique Key17
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 testing10/10/2024
Sample typeVerification A brief description of the sample3/4" WMA A R15 .40% EVO
The quantity of what the sample constitutes16 BX HMA 4 QT PG64-16 1 QT EVO 2 BGS CMB AGG 1 BG CMB RAP From where was the sample collectedManufacturer
First name of sampler or witnessed byDAVID Last name of sampler or witnessed byBASSILY
Title of sampler Telephone number of sampler
Laboratory sample identification0533A-24 Linked DIME Sample ID
The fabricator/manufacturer/facility nameAAA-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 TypeType A HMA
HMA Grading3/4 inch Lot number
Sublot number HMA Mix Number103819 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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