Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2025-06-17-64
Project Information
| Project Identifiers | Project ID: 210409 DEA: 08432724 EFIS: 0800020178 |
|---|---|
| DIST-CO-RTE-PM | 08-RIV-8-RIV-15-6.4/9.7 |
| Award Date | 05/01/2023 |
| Closeout Date | Not set |
| Work Description | Collector/distributor system, new on-ramps, bridges, RW, sound walls, drainage, signal and lighting, signage, freeway widening |
| Location Description | I-15 from Winchester Road to I-215 Junction in Temecula |
| QA Service Level | 2 (Verified on 06/24/2021) |
Sample Information
| Sample Taken Date | 06/17/2025 | Sample Unique Key | 64 |
|---|---|---|---|
| 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 | 06/19/2025 |
| Sample type | Verification | A brief description of the sample | 3/4" RHMA G SP 0.5% LAS |
| The quantity of what the sample constitutes | 32 BX RHMA 4 QT PG64-16 2 QT RBR BLND 2 QT LAS 4 BG CMB AGG 1 BG EA HN & CRM RBR | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | JASON | Last name of sampler or witnessed by | BUSKOY |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | 0378G-25 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | AAA PERRIS | 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 | 3/4 inch | Lot number | |
| Sublot number | HMA Mix Number | 106835 | |
| 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. | |||
