Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2025-10-15-34

Project Information

Project IdentifiersProject ID: 1001065
DEA: 070Y1304
EFIS: 0724000134
DIST-CO-RTE-PM07-VEN-101-25.9/30.6
Award Date05/22/2025
Closeout DateNot set
Work DescriptionMAINLINE INDIVIDUAL SLAB REPLACEMENT.
Location DescriptionVENTURA COUNTY IN VENTURA FROM 0.1 MILE WEST OF TELEPHONE RD UNDERCROSSING TO VENTURA AVENUE UNDERCROSSING
QA Service Level1 (Verified on 07/01/2025)

Sample Information

Sample Taken Date10/15/2025 Sample Unique Key34
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 testing10/22/2025
Sample typeProduction Start-Up A brief description of the sample3/4" HMA A SP R25 .50% LAS
The quantity of what the sample constitutes20 BX HMA 4 QT PG58-16 1 QT LAS 4 BG CMB AGG 2 BG RAP From where was the sample collectedManufacturer
First name of sampler or witnessed byCESAR Last name of sampler or witnessed byVULCAN - QC
Title of sampler Telephone number of sampler
Laboratory sample identification0656A-25 Linked DIME Sample ID
The fabricator/manufacturer/facility nameVULCAN - SATICOY 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 Number220200 SAT LTR
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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