Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2025-11-05-38
Project Information
| Project Identifiers | Project ID: 66667 DEA: JMFPP EFIS: 0019000043 |
|---|---|
| DIST-CO-RTE-PM | 59--- |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | Special project for submitting Sample information for JMF Prequalification Program. |
| Location Description | Not set |
| QA Service Level | NOT VERIFIED |
Sample Information
| Sample Taken Date | 11/05/2025 | Sample Unique Key | 38 |
|---|---|---|---|
| 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 testing | 11/06/2025 |
| Sample type | Verification | A brief description of the sample | 1/2" RHMAG SP 1.0% LAS |
| The quantity of what the sample constitutes | 24 BX RHMA 2 QT PG64-16 6 QT RBR BLND 1 QT LAS 12 BG CMB AGG | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | ADRIAN | Last name of sampler or witnessed by | LOPEZ |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | 0670G-25 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | AAA Irwindale | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Bid Item | Not set |
Material Information
| Material Type | Hot Mix Asphalt | HMA Type | RHMA-G |
|---|---|---|---|
| HMA Grading | 1/2 inch | Lot number | |
| Sublot number | HMA Mix Number | 106836 | |
| Binder content (%) | 0.0 | Virgin binder PG | |
| Design binder PG | Binder Supplier | ||
| RAP content (%) | Not set | WMA Additives | |
| Antistrip type |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Date Added | Verified? | Release Date | Test Comments | Privacy Level | Actions |
|---|---|---|---|---|---|---|---|---|---|
| No results found. | |||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
