Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2025-02-03-8
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Project Information
| Project Identifiers | Project ID: 1000606 DEA: 081J3004 EFIS: 0818000016 |
|---|---|
| DIST-CO-RTE-PM | 08-SBD-18-90.9/R96.6 |
| Award Date | 12/06/2024 |
| Closeout Date | Not set |
| Work Description | HMA (TYPE A), MOD SIGNAL & LTG SYSTEMS, & COLD PLANE AC PVMT. |
| Location Description | SAN BERNARDINO COUNTY IN AND NEAR VICTORVILLE FROM APPLE VALLEY INN ROAD TO ROUTE 15/18 SEPARATION |
| QA Service Level | 1 (Verified on 01/13/2025) |
Sample Information
| Sample Taken Date | 02/03/2025 | Sample Unique Key | 8 |
|---|---|---|---|
| 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 testing | 02/05/2025 |
| Sample type | Verification | A brief description of the sample | 3/4" HMA A R25 0.6% EVO |
| The quantity of what the sample constitutes | 24 BX HMA 4 QTS PG64-16 2 QTS EVO 4 BGS CMB AGG 2 BGS RAP | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | JEDIV | Last name of sampler or witnessed by | VASQUEZ |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | 0125A-25 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Blue Diamond Victorville | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Bid Item | Not set |
Material Information
| Material Type | Hot Mix Asphalt | HMA Type | Type A HMA |
|---|---|---|---|
| HMA Grading | 3/4 inch | Lot number | |
| Sublot number | HMA Mix Number | 300154 R25 | |
| Binder content (%) | Not set | Virgin binder PG | Not set |
| Design binder PG | Not set | Binder Supplier | Not set |
| RAP content (%) | Not set | WMA Additives | Not set |
| Antistrip type | Not set |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Date Added | Verified? | Release Date | Test Comments | Privacy Level | Actions |
|---|---|---|---|---|---|---|---|---|---|
| No results found. | |||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||