Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2024-12-10-30
Project Information
Project Identifiers | Project ID: 209698 DEA: 072332E4 EFIS: 0700000391 COOP: 0705187 |
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DIST-CO-RTE-PM | 07-LA-I-5-45.4/54 |
Award Date | 07/01/2021 |
Closeout Date | Not set |
Work Description | Addition of 14 miles of HOV lanes in both directions would extend existing carpool lanes on the I- 5 in San Fernando Valley to Santa Clarita Valley |
Location Description | The I-5 North Capacity Enhancements Project focuses on improvements to the I-5 freeway from cities of Santa Clarita and Castaic, beginning at the SR-14 interchange to Parker Rd. |
QA Service Level | 2 (Verified on 02/03/2021) |
Sample Information
Sample Taken Date | 12/10/2024 | Sample Unique Key | 30 |
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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 testing | 12/12/2024 |
Sample type | Production Start-Up | A brief description of the sample | 3/4" WMA A SP R25 .50% EVO |
The quantity of what the sample constitutes | 20 BX HMA 4 QT PG58-16 1 QT EVO 4 BG CMB AGG 2 BG RAP | From where was the sample collected | Manufacturer |
First name of sampler or witnessed by | CESAR | Last name of sampler or witnessed by | GOMEZ |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | 0674A-24 | Linked DIME Sample ID | |
The fabricator/manufacturer/facility name | Vulcan - Sun Valley | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name |
Material Information
Material Type | Hot Mix Asphalt | HMA Type | Type A HMA |
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HMA Grading | 3/4 inch | Lot number | |
Sublot number | HMA Mix Number | 220200W SVA VLO |
Submitted Tests
DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
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No results found. |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |