Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2025-09-15-118

Project Information

Project IdentifiersProject ID: 1001001
DEA: 081N7704
EFIS: 0823000047
DIST-CO-RTE-PM08-SBD-173-L0.0/L7.7
Award Date04/25/2025
Closeout DateNot set
Work DescriptionCOLD PLANE AC PVMT, HMA (TYPE A), AND REPLACE AC SURFACING.
Location DescriptionSAN BERNARDINO COUNTY IN HESPERIA FROM ROUTE 138 TO 0.5 MILE EAST OF ARROWHEAD LAKE ROAD
QA Service Level1 (Verified on 04/07/2025)

Sample Information

Sample Taken Date09/15/2025 Sample Unique Key118
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 testing08/19/2025
Sample typeVerification A brief description of the sampleAsphalt Rubber Binder
The quantity of what the sample constitutes1can From where was the sample collectedSource
First name of sampler or witnessed bymohammed Last name of sampler or witnessed byHaque
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameVULCA-ORO GRANDE Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name Bid ItemNot set

Material Information

Material TypeAsphalt Binder Performance GradePG 58-22
Modified Lot number
Sublot number Tank number
Time of sample HMA Supplier
Certified Asphalt SupplierValero Marketing & Supply - Wilmington CA MultigradeNo
Multigrade Type Asphalt Binder Mix Number

Submitted Tests

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