Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2024-11-15-23

Project Information

Project IdentifiersProject ID: 1000254
DEA: 070W6704
EFIS: 0723000018
DIST-CO-RTE-PM07-LA-103-0.0/1.7
Award Date06/28/2024
Closeout Date05/07/2025
Work DescriptionCOLD PLANE AND OVERLAY, REPLACE ASPHALT CONCRETE SURFACING.
Location DescriptionLOS ANGELES COUNTY IN LOS ANGELES AND LONG BEACH FROM 0.1 MILE SOUTH OF UNION PACIFIC OVERHEAD TO 0.1 MILE NORTH OF ROUTE 1/103 SEPARATION
QA Service Level1 (Verified on 09/16/2024)

Sample Information

Sample Taken Date11/15/2024 Sample Unique Key23
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 testing11/19/2024
Sample typeVerification A brief description of the sample1/2" HMA A SP R15 NO LAS
The quantity of what the sample constitutes14 BX HMA 4 QT PG64-10 3 BG CMB AGG 1 BG RAP From where was the sample collectedManufacturer
First name of sampler or witnessed byGERRY Last name of sampler or witnessed byZUBIETA
Title of sampler Telephone number of sampler
Laboratory sample identification0635A-24 Linked DIME Sample ID
The fabricator/manufacturer/facility nameAAA-Corona 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 Number104775 CORONA
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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