Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2025-09-16-66

Project Information

Project IdentifiersProject ID: 1000777
DEA: 07370404
EFIS: 0720000128
DIST-CO-RTE-PM07-LA-5-R59.5/R73.7
Award Date02/06/2025
Closeout DateNot set
Work DescriptionCOLD PLANE AC PAVEMENT, PLACE HOT MIX ASPHALT AND INSTALL MGS.
Location DescriptionLOS ANGELES COUNTY FROM LAKE HUGHES ROAD UNDERCROSSING TO 0.7 MILE SOUTH OF VISTA DEL LAGO ROAD OVERCROSSING.
QA Service Level1 (Verified on 11/25/2024)

Sample Information

Sample Taken Date09/16/2025 Sample Unique Key66
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 testing09/24/2025
Sample typeProduction Start-Up A brief description of the sample3/4" RHMA G SP 1.0% LSM
The quantity of what the sample constitutes20BX RHMA 4 QT EA PG64-16 & RBER BLND 1 QT EXT OIL 5 BG CMB AGG VRGN AGG HN& CRM RBR 1 QT LIME From where was the sample collectedManufacturer
First name of sampler or witnessed byROBERT Last name of sampler or witnessed byROMERO
Title of sampler Telephone number of sampler
Laboratory sample identification0601G-25 Linked DIME Sample ID
The fabricator/manufacturer/facility nameGriffith Edmonston 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 TypeRHMA-G
HMA Grading3/4 inch Lot number
Sublot number HMA Mix NumberGRF 23 34 RHMA LSM
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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