Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2024-11-25-10

Project Information

Project IdentifiersProject ID: 993870
DEA: 120R5604
EFIS: 1218000117
DIST-CO-RTE-PM12-ORA-5,55,73,91,133,405-var
Award Date04/12/2023
Closeout DateNot set
Work DescriptionPLACE RHMA-G, HMA, SLAB REPLACEMENT AND JPCP.
Location DescriptionORANGE COUNTY AT VARIOUS LOCATIONS
QA Service Level1 (Verified on 06/14/2022)

Sample Information

Sample Taken Date11/25/2024 Sample Unique Key10
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 testing12/03/2024
Sample typeProduction Start-Up A brief description of the sample3/4" RHMA G SP .5% LAS
The quantity of what the sample constitutes22 BX RHMA 3 QT RBR BLND 3 BGS CMB AGG From where was the sample collectedManufacturer
First name of sampler or witnessed byJIMMY Last name of sampler or witnessed byPHAM
Title of samplerPLANT INSPECTOR Telephone number of sampler
Laboratory sample identification0659G-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 TypeRHMA-G
HMA Grading3/4 inch Lot number
Sublot number HMA Mix Number106835
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

DIME Test IDTest MethodTester Name, Testing LabDate TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
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