Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2025-02-26-13

Project Information

Project IdentifiersProject ID: 1000681
DEA: 081J7204
EFIS: 0818000099
DIST-CO-RTE-PM08-SBD-40-S0.0/S0.8,0.0/R15.0
Award Date01/17/2025
Closeout DateNot set
Work DescriptionREPLACE AC SURFACING, COLD PLANE AC PAVEMENT, HMA, RSP, AND MGS.
Location DescriptionSAN BERNARDINO COUNTY IN AND NEAR BARSTOW FROM 0.1 MILE WEST OF ROBERTA STREET TO MONTARA ROAD AND FROM ROUTE 15 TO 0.4 MILE EAST OF LAVA WASH BRIDGE
QA Service Level1 (Verified on 01/13/2025)

Sample Information

Sample Taken Date02/26/2025 Sample Unique Key13
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 testing02/28/2025
Sample typeVerification A brief description of the sample3/4" HMA A SP R25 LSM 1.0%
The quantity of what the sample constitutes24 BX HMA 3 BGS LT AG 2 BG RAP 3 BG OF EA BN SZ 4 QT PG64-16 From where was the sample collectedManufacturer
First name of sampler or witnessed byALEX Last name of sampler or witnessed bySAMANO
Title of sampler Telephone number of sampler
Laboratory sample identification0143A-25 Linked DIME Sample ID
The fabricator/manufacturer/facility nameBlue Diamond-Victorville 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 Grading3/4 inch Lot number
Sublot number HMA Mix Number300154 R25 LSM
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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