Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2025-03-24-12
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 1000860 DEA: 072XL304 EFIS: 0724000159 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-10,5-14/17 & 35/36 |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | LA-010,: Secure the sites, clean-up and remove hazardous mat |
| Location Description | Not set |
| QA Service Level | 1 (Verified on 12/17/2024) |
Sample Information
| Sample Taken Date | 03/24/2025 | Sample Unique Key | 12 |
|---|---|---|---|
| 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 | 03/27/2025 |
| Sample type | Verification | A brief description of the sample | 1/2" RHMA G SP .5% LAS |
| The quantity of what the sample constitutes | 24 BX RHMA 4 BG CB AG 1 BG HN, 1 BG RBR CRM 2 QTS PG64-16 4 QTS RBR BLND 2 QTS LAS 1 QT EXT OIL | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | JOHN | Last name of sampler or witnessed by | MEJIA |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | 0180G-25 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Vulcan Irwindale | 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 | RHMA-G |
|---|---|---|---|
| HMA Grading | 1/2 inch | Lot number | |
| Sublot number | HMA Mix Number | 326120M IRW LTR | |
| 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. | |||