Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2025-06-17-64

Project Information

Project IdentifiersProject ID: 210409
DEA: 08432724
EFIS: 0800020178
DIST-CO-RTE-PM08-RIV-8-RIV-15-6.4/9.7
Award Date05/01/2023
Closeout DateNot set
Work DescriptionCollector/distributor system, new on-ramps, bridges, RW, sound walls, drainage, signal and lighting, signage, freeway widening
Location DescriptionI-15 from Winchester Road to I-215 Junction in Temecula
QA Service Level2 (Verified on 06/24/2021)

Sample Information

Sample Taken Date06/17/2025 Sample Unique Key64
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 testing06/19/2025
Sample typeVerification A brief description of the sample3/4" RHMA G SP 0.5% LAS
The quantity of what the sample constitutes32 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 collectedManufacturer
First name of sampler or witnessed byJASON Last name of sampler or witnessed byBUSKOY
Title of sampler Telephone number of sampler
Laboratory sample identification0378G-25 Linked DIME Sample ID
The fabricator/manufacturer/facility nameAAA PERRIS 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 Number106835
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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