Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2025-05-29-55
Project Information
| Project Identifiers | Project ID: 214345 DEA: 120P94U4 EFIS: 1217000076 |
|---|---|
| DIST-CO-RTE-PM | 12-ORA-133-3.2/R4.1 |
| Award Date | 02/23/2021 |
| Closeout Date | Not set |
| Work Description | ROADWAY WIDENING, RESTRIPING AND DRAINAGE WORK. |
| Location Description | ORANGE COUNTY IN THE CITY OF LAGUNA BEACH FROM 0.2 MILE SOUTH OF EL TORO ROAD TO ROUTE 73/133 SEPARATION |
| QA Service Level | 1 (Verified on 12/10/2020) |
Sample Information
| Sample Taken Date | 05/29/2025 | Sample Unique Key | 55 |
|---|---|---|---|
| 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 | 06/05/2025 |
| Sample type | Verification | A brief description of the sample | 1/2" WMA - O |
| The quantity of what the sample constitutes | 6 QTS PG64-10, 3 QTS EVO, 5 BGS CMB AGG | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | VULCAN | Last name of sampler or witnessed by | QC |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | 0336O-25 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Vulcan Corona | 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 | OGFC |
|---|---|---|---|
| HMA Grading | 1/2 inch | Lot number | |
| Sublot number | HMA Mix Number | 320830 CORD SJR | |
| 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. | |||
