Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2024-06-17-68

Project Information

Project IdentifiersProject ID: 994582
DEA: 073203U4
EFIS: 0722000071
DIST-CO-RTE-PM07-LA-91,605-R16.6/R16.8,R0.0/R10.4
Award Date06/20/2023
Closeout DateNot set
Work DescriptionPLACE CONCRETE PAVEMENT AND HIGH FRICTION SURFACE TREATMENT.
Location DescriptionLOS ANGELES COUNTY ON ROUTE 605 FROM 0.2 MILE NORTH OF KATELLA AVENUE UNDECROSSING TO 0.1 MILE NORTH OF TELEGRAPH ROAD UNDERCROSSING AND ON ROUTE 91 FROM 0.4 MILE WEST OF ROUTE 605 UNDERCROSSING TO 0.2 MILE WEST OF ROUTE 605 UNDERCROSSING
QA Service Level1 (Verified on 07/12/2023)

Sample Information

Sample Taken Date06/17/2024 Sample Unique Key68
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 testing06/20/2024
Sample typeVerification A brief description of the sample3/4" RHMA-G-SP 0.5% LAS
The quantity of what the sample constitutes24 BOX RHMA, 4 BAG AG, 1 BAG CRUM RB, 1 BAG HI NAT, 4 QT RUB BIND, 2 QT LAS, 1 QT EXT OIL From where was the sample collectedManufacturer
First name of sampler or witnessed byVulcan Last name of sampler or witnessed byQC
Title of sampler Telephone number of sampler
Laboratory sample identification0299G-24 Linked DIME Sample ID
The fabricator/manufacturer/facility nameVulcan Irwindale 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 TypeRHMA-G
HMA Grading3/4 inch Lot number
Sublot number HMA Mix Number226108M IRW VLO
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

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