Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2025-03-17-9

Project Information

Project IdentifiersProject ID: 214698
DEA: 120N8904
EFIS: 1214000130
DIST-CO-RTE-PM12-ORA-133-8.3/M9.3
Award Date11/09/2023
Closeout DateNot set
Work DescriptionCONSTRUCT AUXILIARY LANE.
Location DescriptionORANGE COUNTY IN IRVINE FROM ROUTE 133/405 SEPARATION TO IRVINE CENTER DRIVE OVERCROSSING
QA Service Level1 (Verified on 02/22/2021)

Sample Information

Sample Taken Date03/17/2025 Sample Unique Key9
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 testing03/19/2025
Sample typeProduction Start-Up A brief description of the sample3/4" WMA A R25 .25% EVO
The quantity of what the sample constitutes22 BX HMA 3 QT PG58-16 2 BGS CMB AGG 2 BGS RAP From where was the sample collectedManufacturer
First name of sampler or witnessed byCUONG Last name of sampler or witnessed byPHAM
Title of sampler Telephone number of sampler
Laboratory sample identification0168A-25 Linked DIME Sample ID
The fabricator/manufacturer/facility nameVulcan 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 Grading3/4 inch Lot number
Sublot number HMA Mix Number220200W CORD SJR
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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