Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2024-05-08-9

Project Information

Project IdentifiersProject ID: 993387
DEA: 07323404
EFIS: 0716000064
DIST-CO-RTE-PM07-LA-5-R59.5/R67.9
Award DateNot set
Closeout DateNot set
Work DescriptionPLACE CULVERT, REPLACE DRAINAGE SYSTEM, RECONST ROADWAY & EMBANKMENT.
Location DescriptionLOS ANGELES COUNTY AT VARIOUS LOCATIONS FROM LAKE HUGHES ROAD UNDERCROSSING TO 1.9 MILES NORTH OF TEMPLIN HIGHWAY UNDERCROSSING
QA Service Level1 (Verified on 12/06/2021)

Sample Information

Sample Taken Date05/08/2024 Sample Unique Key9
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 testing05/06/2024
Sample typeVerification A brief description of the sampleJMF verification sample
The quantity of what the sample constitutes1can From where was the sample collectedSource
First name of sampler or witnessed byEsteban Last name of sampler or witnessed bySalgado
Title of sampler Telephone number of sampler
Laboratory sample identification 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 TypeAsphalt Binder Performance GradePG 64-10
Modified Lot number
Sublot number Tank number
Time of sample HMA Supplier
Certified Asphalt SupplierSan Joaquin Refinery - Bakersfield CA MultigradeNo
Multigrade Type Asphalt Binder Mix Number

Submitted Tests

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

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Test File Attachments