Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2025-09-29-36

Project Information

Project IdentifiersProject ID: 1000759
DEA: 074X9704
EFIS: 0716000335
DIST-CO-RTE-PM07-LA,-1-42.4
Award Date01/15/2025
Closeout DateNot set
Work DescriptionCONSTRUCT DRILLED HOLE AND DRILLED HOLE (ROCK SOCKET).
Location DescriptionLOS ANGELES COUNTY IN MALIBU AT 0.1 MILE SOUTH OF BIG ROCK DRIVE
QA Service Level1 (Verified on 11/25/2024)

Sample Information

Sample Taken Date09/29/2025 Sample Unique Key36
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 testing10/03/2025
Sample typeProduction Start-Up A brief description of the sample3/4" HMA A SP R15 NO LAS
The quantity of what the sample constitutes14 BX HMA 4 QT PG64-10 2 BG CMB AGG 2 BG RAP From where was the sample collectedManufacturer
First name of sampler or witnessed byRON Last name of sampler or witnessed bySEQUOIA - QC
Title of sampler Telephone number of sampler
Laboratory sample identification0625A-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 Number105793
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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