Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2025-09-08-26
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 | 09/08/2025 | Sample Unique Key | 26 |
|---|---|---|---|
| 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 | 09/12/2025 |
| Sample type | Verification | A brief description of the sample | 1/2" HMA A SP R25 .25% EVO |
| The quantity of what the sample constitutes | 20 BX HMA 4 QT PG58-22 1 QT EVO 4 BG CMB AGG 2 BG CMB RAP | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | DRAKE | Last name of sampler or witnessed by | GUSTAFSON |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | 0557A-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 | Type A HMA |
|---|---|---|---|
| HMA Grading | 1/2 inch | Lot number | |
| Sublot number | HMA Mix Number | 40R2508SPWEO | |
| 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. | |||
