Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2024-10-08-63

Project Information

Project IdentifiersProject ID: 994869
DEA: 073237U4
EFIS: 0720000224
DIST-CO-RTE-PM07-VEN-150-13.3/19
Award Date03/27/2023
Closeout DateNot set
Work DescriptionPLACE HMA (TYPE A) AND COLD PLANE ASPHALT
Location DescriptionVENTURA COUNTY IN AND NEAR OJAI FROM BURNHAM ROAD TO GORHAM ROAD
QA Service Level1 (Verified on 06/26/2023)

Sample Information

Sample Taken Date10/08/2024 Sample Unique Key63
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 testing10/15/2024
Sample typeProduction Start-Up A brief description of the sample3/4" HMA A SP R30 4.8% EVO
The quantity of what the sample constitutes20 BX HMA 4 BGS CMB AGG 2 BGS RAP 4 QTS PG58-16 1 QT EVO From where was the sample collectedManufacturer
First name of sampler or witnessed byJAY Last name of sampler or witnessed byVULCAN
Title of sampler Telephone number of sampler
Laboratory sample identification0547A-24 Linked DIME Sample ID
The fabricator/manufacturer/facility namevulcan saticoy Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeHot Mix Asphalt HMA TypeType A HMA
HMA Grading3/4 inch Lot number
Sublot number HMA Mix Number220203E SAT LTR

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Test File Attachments