Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2024-10-28-14

Project Information

Project IdentifiersProject ID: 995085
DEA: 07322904
EFIS: 0716000059
DIST-CO-RTE-PM07-LA-27-0.0/18.6
Award Date11/06/2023
Closeout DateNot set
Work DescriptionREMOVE EXISTING AC PAVEMENT & HMA OVERLAY.
Location DescriptionLOS ANGELES COUNTY IN AND NEAR LOS ANGELES FROM ROUTE 1 TO DEVONSHIRE STREET
QA Service Level1 (Verified on 09/11/2023)

Sample Information

Sample Taken Date10/28/2024 Sample Unique Key14
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 testing10/30/2024
Sample typeProduction Start-Up A brief description of the sample1/2" WMA A SP R25 .25% EVO
The quantity of what the sample constitutes20 BX HMA 4 BGS CMB AGG 2 BGS RAP 4 QT PG58-16 1 QT EVO From where was the sample collectedManufacturer
First name of sampler or witnessed byJOHN Last name of sampler or witnessed byMEJIAH
Title of sampler Telephone number of sampler
Laboratory sample identification0594A-24 Linked DIME Sample ID
The fabricator/manufacturer/facility nameVulcan Sun Valley 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 Grading1/2 inch Lot number
Sublot number HMA Mix Number320200W SVA VLO
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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