Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2025-08-03-28

Project Information

Project IdentifiersProject ID: 1000661
DEA: 081J2704
EFIS: 0818000014
DIST-CO-RTE-PM08-SBD-247-0.0/23.0
Award Date01/31/2025
Closeout DateNot set
Work DescriptionRUBBERIZED HMA, HMA (TYPE A), COLD PLANE AC PVMT & REPLACE AC SURF.
Location DescriptionSAN BERNARDINO COUNTY IN YUCCA VALLEY FROM ROUTE 62 TO 0.4 MILE WEST OF GIN ROAD
QA Service Level1 (Verified on 01/13/2025)

Sample Information

Sample Taken Date08/03/2025 Sample Unique Key28
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 testing08/06/2025
Sample typeVerification A brief description of the sampleAsphalt Binder Sample
The quantity of what the sample constitutes1can From where was the sample collectedSource
First name of sampler or witnessed byFrancisco Last name of sampler or witnessed byRUVALCABA
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameBlue Diamond-Victorville 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 64-16
Modified Lot number
Sublot number Tank number
Time of sample HMA Supplier
Certified Asphalt SupplierLunday Thagard Company-World Oil - South Gate CA MultigradeNo
Multigrade Type Asphalt Binder Mix Number

Submitted Tests

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