Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2025-09-11-44

Project Information

Project IdentifiersProject ID: 1001227
DEA: 074V5004
EFIS: 0723000160
DIST-CO-RTE-PM07-LA-210-R24.7/R25.3
Award Date06/13/2025
Closeout Date12/02/2025
Work DescriptionOVERLAY AC SHOULDER, REPLACE SHOULDER, AND SLAB REPLACEMENT.
Location DescriptionLOS ANGELES COUNTY IN PASADENA FROM 0.1 MILE EAST OF ORANGE GROVE BOULEVARD OVERCROSSING TO 0.2 MILE WEST OF MARENGO AVENUE OVERCROSSING
QA Service Level1 (Verified on 07/02/2025)

Sample Information

Sample Taken Date09/11/2025 Sample Unique Key44
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 testing09/18/2025
Sample typeProduction Start-Up A brief description of the sample3/4" WMA A SP R15 .4% EVO
The quantity of what the sample constitutes12 BX HMA, 6 BGS CMB AGG, 3 BGS RAP, 4 QTS PG64-10, 2 QTS EVO From where was the sample collectedManufacturer
First name of sampler or witnessed byDANIEL Last name of sampler or witnessed bySEQUOIA QC
Title of sampler Telephone number of sampler
Laboratory sample identification0592A-25 Linked DIME Sample ID
The fabricator/manufacturer/facility nameAAA - CORONA 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 Number103793
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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