Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2024-11-12-5

Project Information

Project IdentifiersProject ID: 1000267
DEA: 070W6404
DIST-CO-RTE-PM07-LA-2,134,170-Var
Award Date06/24/2024
Closeout DateNot set
Work DescriptionMETHACRYLATE, POLYESTER OVERLAY, SPILL REPAIR AND JOINT SEALS.
Location DescriptionLOS ANGELES COUNTY AT VARIOUS LOCATIONS
QA Service Level1 (Verified on 09/16/2024)

Sample Information

Sample Taken Date11/12/2024 Sample Unique Key5
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 testing11/12/2024
Sample typeProduction Start-Up A brief description of the sample1/2" HMA A SP R15 NO LAS
The quantity of what the sample constitutes13 BX HMA 4 QT PG64-10 4 BG CMB AGG 1 BG RAP From where was the sample collectedManufacturer
First name of sampler or witnessed byG. Last name of sampler or witnessed byZUBIETA
Title of sampler Telephone number of sampler
Laboratory sample identification0616A-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

Material Information

Material TypeHot Mix Asphalt HMA TypeType A HMA
HMA Grading1/2 inch Lot number
Sublot number HMA Mix Number104775

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Sample File Attachments

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Test File Attachments