Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2025-10-21-23

Project Information

Project IdentifiersProject ID: 1000607
DEA: 081K6904
EFIS: 0819000090
DIST-CO-RTE-PM08-RIV-74-5.7/11.8
Award Date01/09/2025
Closeout DateNot set
Work DescriptionROCK EXCAVATION, HMA (TYPE A), RHMA-G, AND CABLE NET DRAPERY SYSTEM.
Location DescriptionRIVERSIDE COUNTY IN AND NEAR LAKE ELSINORE FROM MONTE VISTA STREET TO GRAND AVENUE
QA Service Level1 (Verified on 01/13/2025)

Sample Information

Sample Taken Date10/21/2025 Sample Unique Key23
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 testing10/24/2025
Sample typeVerification A brief description of the sample3/4" HMA A SP R25% LAS .5%
The quantity of what the sample constitutes24 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 byDYLAN Last name of sampler or witnessed byNAULT
Title of sampler Telephone number of sampler
Laboratory sample identification0664A-25 Linked DIME Sample ID
The fabricator/manufacturer/facility nameMartin Marietta Lake Elsinore 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 Number53417105
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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