Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2025-03-24-47

Project Information

Project IdentifiersProject ID: 1000286
DEA: 070W7004
EFIS: 0723000032
DIST-CO-RTE-PM07-LA-405-44.7/48.64
Award Date06/19/2024
Closeout DateNot set
Work DescriptionINDIVIDUAL SLAB REPLACEMENT (RSC), & GRIND EXIST CONC PAVEMENT.
Location DescriptionLOS ANGELES COUNTY IN LOS ANGELES FROM NORDHOFF STREET UNDERCROSSING TO ROUTE 5/405 SEPARATION
QA Service Level1 (Verified on 09/16/2024)

Sample Information

Sample Taken Date03/24/2025 Sample Unique Key47
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 testing04/03/2025
Sample typeVerification A brief description of the sample3/4" RHMA G SP 0.5% LAS
The quantity of what the sample constitutes24 BX HMA 4 BG CMB AG 4 QT RBR BLND 2 QT LAS 1 QT EXT OIL 2 QT PG64-16 1 BG HN 1 BG RBR CRM From where was the sample collectedManufacturer
First name of sampler or witnessed byJOHN Last name of sampler or witnessed byMEJIA
Title of sampler Telephone number of sampler
Laboratory sample identification0191G-25 Linked DIME Sample ID
The fabricator/manufacturer/facility nameVulcan Irwindale 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 Number226108M IRW LTR
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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