Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2024-12-10-30

Project Information

Project IdentifiersProject ID: 209698
DEA: 072332E4
EFIS: 0700000391
COOP: 0705187
DIST-CO-RTE-PM07-LA-I-5-45.4/54
Award Date07/01/2021
Closeout DateNot set
Work DescriptionAddition 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 DescriptionThe 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 Level2 (Verified on 02/03/2021)

Sample Information

Sample Taken Date12/10/2024 Sample Unique Key30
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 testing12/12/2024
Sample typeProduction Start-Up A brief description of the sample3/4" WMA A SP R25 .50% EVO
The quantity of what the sample constitutes20 BX HMA 4 QT PG58-16 1 QT EVO 4 BG CMB AGG 2 BG RAP 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 identification0674A-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 Grading3/4 inch Lot number
Sublot number HMA Mix Number220200W SVA VLO

Submitted Tests

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