Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2025-07-10-49

Project Information

Project IdentifiersProject ID: 1000661
DEA: 081J2704
EFIS: 0818000014
DIST-CO-RTE-PM08-SBD-247-0.0/23.0
Award Date01/31/2025
Closeout DateNot set
Work DescriptionRUBBERIZED HMA, HMA (TYPE A), COLD PLANE AC PVMT & REPLACE AC SURF.
Location DescriptionSAN BERNARDINO COUNTY IN YUCCA VALLEY FROM ROUTE 62 TO 0.4 MILE WEST OF GIN ROAD
QA Service Level1 (Verified on 01/13/2025)

Sample Information

Sample Taken Date07/10/2025 Sample Unique Key49
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 testing07/12/2025
Sample typeProduction Start-Up A brief description of the sample3/4" RHMA G SP 0.3% EVO
The quantity of what the sample constitutes28 BX RHMA 4 QT PG64-16 4 QT RBR BLND 6 BG CMB AGG From where was the sample collectedManufacturer
First name of sampler or witnessed byJareerattana Last name of sampler or witnessed bySirisujarittham
Title of sampler Telephone number of sampler
Laboratory sample identification0426G-25 Linked DIME Sample ID
The fabricator/manufacturer/facility nameBlue Diamond-Victorville 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 Number300072
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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