Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2024-11-13-49

Project Information

Project IdentifiersProject ID: 995085
DEA: 07322904
EFIS: 0716000059
DIST-CO-RTE-PM07-LA-27-0.0/18.6
Award Date11/06/2023
Closeout DateNot set
Work DescriptionREMOVE EXISTING AC PAVEMENT & HMA OVERLAY.
Location DescriptionLOS ANGELES COUNTY IN AND NEAR LOS ANGELES FROM ROUTE 1 TO DEVONSHIRE STREET
QA Service Level1 (Verified on 09/11/2023)

Sample Information

Sample Taken Date11/13/2024 Sample Unique Key49
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 testing11/15/2024
Sample typeProduction Start-Up A brief description of the sample1/2" WMA A SP R25
The quantity of what the sample constitutes20 BX HMA 4 BG CMB AGG 2 BG RAP 4 QT PG58-16 1 QT EVO From where was the sample collectedManufacturer
First name of sampler or witnessed byCESAR Last name of sampler or witnessed byGOMEZ
Title of sampler Telephone number of sampler
Laboratory sample identification0633A-24 Linked DIME Sample ID
The fabricator/manufacturer/facility nameVulcan - Sun Valley 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 Grading1/2 inch Lot number
Sublot number HMA Mix Number320200W SVA VLO

Submitted Tests

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