Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2024-03-05-16

Project Information

Project IdentifiersProject ID: 214649
DEA: 07316004
EFIS: 0715000194
DIST-CO-RTE-PM07-LA-14-60.70
Award Date02/07/2023
Closeout DateNot set
Work DescriptionREHABILITATION FOR THE ON/OFF RAMPS AND ADJACENT SHOULDERS. UPGRADING METAL BEAM GUARDRAILS, AC DIKES, SIGN PANELS, CURB RAMPS, TRAFFIC LOOPS DETECTORS, AND SOME OTHER HIGHWAY APPURTENANCES.
Location DescriptionROUTE 14 FROM PALMDALE BLVD TO KERN COUNTRY LINE.
QA Service Level1 (Verified on 01/29/2020)

Sample Information

Sample Taken Date03/05/2024 Sample Unique Key16
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 testing03/05/2024
Sample typeProduction Start-Up A brief description of the sample3/4" HMA-A-SP R15, 0.5%LAS
The quantity of what the sample constitutes20 boxes of hma, 8 bags aggs, 1 bag rap, 4qts pg70-10, i qt las From where was the sample collectedManufacturer
First name of sampler or witnessed byVULCAN Last name of sampler or witnessed byVulcan QC
Title of sampler Telephone number of sampler
Laboratory sample identification0129A-24 Linked DIME Sample ID
The fabricator/manufacturer/facility nameVulcan HMA- Palmdale 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 Number221534 PAL VLO

Submitted Tests

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