Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2025-09-05-42

Project Information

Project IdentifiersProject ID: 1000903
DEA: 081M0404
EFIS: 0821000091
DIST-CO-RTE-PM08-SBD-40-R140.0/R142.2
Award Date06/06/2025
Closeout DateNot set
Work DescriptionCOLD PLANE AC & RHMA, VEGETATION CONTROL (MINOR CONC), MGS, AND HTCB.
Location DescriptionSAN BERNARDINO COUNTY IN NEEDLES FROM FOX WASH OVERFLOW TO L STREET UNDERCROSSING
QA Service Level1 (Verified on 01/13/2025)

Sample Information

Sample Taken Date09/05/2025 Sample Unique Key42
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 testing09/11/2025
Sample typeVerification A brief description of the sample1/2" WMA - O PG70-10 LM
The quantity of what the sample constitutes6 BAGS CMB LT AGG, 8 QTS PG70-10, 1 QT EVO From where was the sample collectedManufacturer
First name of sampler or witnessed byWILLIAM Last name of sampler or witnessed byLUCAS
Title of sampler Telephone number of sampler
Laboratory sample identification0553O-25 Linked DIME Sample ID
The fabricator/manufacturer/facility nameGranite Indio 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 TypeOGFC
HMA Grading1/2 inch Lot number
Sublot number HMA Mix Number14987
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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