Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2024-12-10-55

Project Information

Project IdentifiersProject ID: 994121
DEA: 120P68U4
EFIS: 1218000105
DIST-CO-RTE-PM12-ORA-1-13.0/33.7
Award Date07/12/2023
Closeout DateNot set
Work DescriptionCOLD PLANE, PLACE RHMA AND MODIFY CURB RAMPS AND ELECTRICAL SYSTEMS.
Location DescriptionORANGE COUNTY AT VARIOUS LOCATIONS FROM CRYSTAL HEIGHTS DRIVE TO LOS ANGELES/ORANGE COUNTY LINE
QA Service Level1 (Verified on 07/07/2023)

Sample Information

Sample Taken Date12/10/2024 Sample Unique Key55
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 testing12/23/2024
Sample typeVerification A brief description of the sample3/4" RWMA G SP .4% EVO
The quantity of what the sample constitutes32 BX RWMA 4 BS CMB AGG 1 BG CRM 1 BG HN 4 QTS PG64-16 4 QTS RBR BLND 2 QTS EVO From where was the sample collectedManufacturer
First name of sampler or witnessed byVICTOR Last name of sampler or witnessed byCAPACETE
Title of sampler Telephone number of sampler
Laboratory sample identification0691G-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 Number108835
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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