Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2025-09-05-43
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Project Information
| Project Identifiers | Project ID: 1000611 DEA: 120R32U4 EFIS: 1222000054 |
|---|---|
| DIST-CO-RTE-PM | 12-ORA-55-0.2/R17.8 |
| Award Date | 02/07/2025 |
| Closeout Date | Not set |
| Work Description | COLD PLANE, PLACE RHMA, REPLACE CB, SIGNS AND MODIFY LIGHTING SYSTEM. |
| Location Description | ORANGE COUNTY FROM 0.1 MILE SOUTH OF ROUTE 55/1 SEPARATION IN NEWPORT BEACH TO ROUTE 55/91 SEPARATION IN ANAHEIM |
| QA Service Level | 1 (Verified on 09/30/2024) |
Sample Information
| Sample Taken Date | 09/05/2025 | Sample Unique Key | 43 |
|---|---|---|---|
| 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 testing | 09/11/2025 |
| Sample type | Verification | A brief description of the sample | 1/2" RHMA O SP NO LAS |
| The quantity of what the sample constitutes | 2 BAGS EA BIN SIZE, 1 BAG EA HI NAT & CRM RUBBER, 7 QTS PG64-16, 3 QTS RUBBER BLEND | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | DRAKE | Last name of sampler or witnessed by | GUSTAFSUN |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | 0554O-25 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | RJ Noble Orange | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Bid Item | Not set |
Material Information
| Material Type | Hot Mix Asphalt | HMA Type | OGFC |
|---|---|---|---|
| HMA Grading | 1/2 inch | Lot number | |
| Sublot number | HMA Mix Number | 51R003ARSPO | |
| Binder content (%) | 0.0 | Virgin binder PG | |
| Design binder PG | Binder Supplier | ||
| RAP content (%) | Not set | WMA Additives | |
| Antistrip type |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Date Added | Verified? | Release Date | Test Comments | Privacy Level | Actions |
|---|---|---|---|---|---|---|---|---|---|
| No results found. | |||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||