Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2024-02-02-8

Project Information

Project IdentifiersProject ID: 993815
DEA: 081C0814
EFIS: 0816000086
DIST-CO-RTE-PM08-RIV-10-R60.7/R74.3
Award Date03/28/2022
Closeout DateNot set
Work DescriptionI-10 PAVEMENT REHABILITATION (SEGMENT 1) PROJECT
Location DescriptionCoachella
QA Service Level1 (Verified on 05/03/2022)

Sample Information

Sample Taken Date02/02/2024 Sample Unique Key8
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 testing02/05/2024
Sample typeVerification A brief description of the sample1/2" HMA-A R25% ML5000
The quantity of what the sample constitutes24 boxes HMA, 6 BAGS AGG, 2BAGS RAP, I BAG DUST, 4 QT OIL, 2QT LAS From where was the sample collectedManufacturer
First name of sampler or witnessed byRigoberto Last name of sampler or witnessed byArroyo
Title of samplerQC Telephone number of sampler
Laboratory sample identification0110A-24 Linked DIME Sample ID
The fabricator/manufacturer/facility nameCoachella Valley Aggregates/VALERO/INGVITY 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 Grading1/2 inch Lot number
Sublot number HMA Mix Number41217155
Binder content (%)Not set Virgin binder PGNot set
Design binder PGNot set Binder SupplierNot set
RAP content (%)Not set WMA AdditivesNot set
Antistrip typeNot set

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
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