Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2025-06-18-76

Project Information

Project IdentifiersProject ID: 994966
DEA: 073255U4
EFIS: 0722000129
DIST-CO-RTE-PM07-LA-605-20.2/26
Award Date04/12/2023
Closeout DateNot set
Work DescriptionINDIVIDUAL SLAB REPLACEMENT, COLD PLANE AC
Location DescriptionLOS ANGELES COUNTY IN BALDWIN PARK AND IRWINDALE FROM ROUTE 10/605 SEPARATION TO 0.2 MILE NORTH OF ROUTE 210/605 SEPARATION
QA Service Level1 (Verified on 07/13/2023)

Sample Information

Sample Taken Date06/18/2025 Sample Unique Key76
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 testing06/25/2025
Sample typeProduction Start-Up A brief description of the sample3/4" RHMA G SP 0.50% LAS
The quantity of what the sample constitutes24 BX RHMA 2 QT PG64-16 4 QT RBR BLND 3 BG CMB AGG 1 BG EA HN & CRM RBR From where was the sample collectedManufacturer
First name of sampler or witnessed byGERARDO Last name of sampler or witnessed byZUBIETA
Title of sampler Telephone number of sampler
Laboratory sample identification0391G-25 Linked DIME Sample ID
The fabricator/manufacturer/facility nameAAA-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 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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