Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2025-09-08-26

Project Information

Project IdentifiersProject ID: 1000611
DEA: 120R32U4
EFIS: 1222000054
DIST-CO-RTE-PM12-ORA-55-0.2/R17.8
Award Date02/07/2025
Closeout DateNot set
Work DescriptionCOLD PLANE, PLACE RHMA, REPLACE CB, SIGNS AND MODIFY LIGHTING SYSTEM.
Location DescriptionORANGE COUNTY FROM 0.1 MILE SOUTH OF ROUTE 55/1 SEPARATION IN NEWPORT BEACH TO ROUTE 55/91 SEPARATION IN ANAHEIM
QA Service Level1 (Verified on 09/30/2024)

Sample Information

Sample Taken Date09/08/2025 Sample Unique Key26
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 testing09/12/2025
Sample typeVerification A brief description of the sample1/2" HMA A SP R25 .25% EVO
The quantity of what the sample constitutes20 BX HMA 4 QT PG58-22 1 QT EVO 4 BG CMB AGG 2 BG CMB RAP From where was the sample collectedManufacturer
First name of sampler or witnessed byDRAKE Last name of sampler or witnessed byGUSTAFSON
Title of sampler Telephone number of sampler
Laboratory sample identification0557A-25 Linked DIME Sample ID
The fabricator/manufacturer/facility nameRJ Noble Orange 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 Grading1/2 inch Lot number
Sublot number HMA Mix Number40R2508SPWEO
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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