Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2024-10-23-33

Project Information

Project IdentifiersProject ID: 1000266
DEA: 070W6304
EFIS: 0722000332
DIST-CO-RTE-PM07-VEN-33,101,118,126-Var
Award Date06/26/2024
Closeout DateNot set
Work DescriptionMETHACRYLATE, POLYESTER OVERLAY, AND SLOPE REPAIR.
Location DescriptionVENTURA COUNTY AT VARIOUS LOCATIONS
QA Service Level1 (Verified on 04/17/2024)

Sample Information

Sample Taken Date10/23/2024 Sample Unique Key33
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 testing10/25/2024
Sample typeProduction Start-Up A brief description of the sample3/4" HMA A SP R25 .5% LAS
The quantity of what the sample constitutes16 BX HMA 4 QT PG 58-16 1 QT LAS 4 BGS CMB AGG 2 BGS RAP From where was the sample collectedManufacturer
First name of sampler or witnessed byCHRIS Last name of sampler or witnessed byHURTADO
Title of sampler Telephone number of sampler
Laboratory sample identification0586A-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 Number220200 SAT LTR

Submitted Tests

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