Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2025-07-10-65

Project Information

Project IdentifiersProject ID: 1001001
DEA: 081N7704
EFIS: 0823000047
DIST-CO-RTE-PM08-SBD-173-L0.0/L7.7
Award Date04/25/2025
Closeout DateNot set
Work DescriptionCOLD PLANE AC PVMT, HMA (TYPE A), AND REPLACE AC SURFACING.
Location DescriptionSAN BERNARDINO COUNTY IN HESPERIA FROM ROUTE 138 TO 0.5 MILE EAST OF ARROWHEAD LAKE ROAD
QA Service Level1 (Verified on 04/07/2025)

Sample Information

Sample Taken Date07/10/2025 Sample Unique Key65
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 testing07/21/2025
Sample typeVerification A brief description of the sample3/4" WMA-A SP RAP 20% EVO .50%
The quantity of what the sample constitutes24 BX HMA 4 QT PG58-22 2 QT EVO 3 BG EVO 3 BG CMB AGG 2 BG RAP From where was the sample collectedManufacturer
First name of sampler or witnessed byJOHN Last name of sampler or witnessed byMejia
Title of sampler Telephone number of sampler
Laboratory sample identification0452A-25 Linked DIME Sample ID
The fabricator/manufacturer/facility nameVulcan Oro Grande 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 TypeType A HMA
HMA Grading3/4 inch Lot number
Sublot number HMA Mix Number220311W ORO VAL
Binder content (%)0.0 Virgin binder PG
Design binder PG Binder Supplier
RAP content (%)Not set WMA Additives
Antistrip type

Submitted Tests

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