Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2025-05-07-53

Project Information

Project IdentifiersProject ID: 994781
DEA: 07322704
EFIS: 0716000067
DIST-CO-RTE-PM07-VEN-1-1.3/26.6
Award Date01/31/2023
Closeout DateNot set
Work DescriptionCONSTRUCT PERVIOUS CONCRETE PAVEMENT
Location DescriptionVENTURA COUNTY AT VARIOUS LOCATIONS
QA Service Level1 (Verified on 07/13/2023)

Sample Information

Sample Taken Date05/07/2025 Sample Unique Key53
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 testing05/07/2025
Sample typeProduction Start-Up A brief description of the sample3/4" RHMA G SP .5% LAS
The quantity of what the sample constitutes24 BX RHMA 4 QT PG64-16 4 QT RBR BLND 2 QT LAS 1 QT EXT OIL 1 CN HN 1 CN CRM RBR 4 BG CMB AG From where was the sample collectedManufacturer
First name of sampler or witnessed byCHRISTIAN Last name of sampler or witnessed byGonzalez
Title of sampler Telephone number of sampler
Laboratory sample identification0289G-25 Linked DIME Sample ID
The fabricator/manufacturer/facility nameVulcan Sun Valley 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 SVA VLO
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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