Sample Record for 2026-09-02-76
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 1001650 DEA: 11430814 EFIS: 1119000161
QA Service Level: 1
DIST-CO-RTE-PM: 11-SD-79-11.2/20.2,20.2/44.7
Work Description: COLD PLANE, PLACE RHMA, REPLACE RAILING, DIKES, AND SIGNS.
Location Description: SAN DIEGO COUNTY NEAR JULIAN FROM 0.6 MILE SOUTH OF WOLAHI ROAD TO EAST JUNCTION ROUTE 78 AND NEAR WARNER SPRINGS FROM WEST JUNCTION ROUTE 78 TO 1.0 MILE SOUTH OF CHIHUAHUA VALLEY ROAD
Contractor Name: Scott Hartley RJ noble company
Contractor Address: 4217 Ponderosa Avenue Suite G, San Diego, CA, 92123
Resident Engineer: navid Borzouei Structure Rep.: Unknown
Sample Information
DIME Sample ID: 2026-09-02-76
TL Number from the TL Form:
Sample Submitted By Organization: CT D11 - District 11 Materials Laboratory
Sample Organization Contact: (858) 518-8709
Type of Sample: Production Start-Up
Type of Material: Aggregate
Sample Taken Date: 09/02/2026
Date that the sample was received by the laboratory/organization performing the testing: 08/19/2026
The quantity of what the sample constitutes: 5 bags
A brief description of the sample: PSU
From where was the sample collected: Supplier
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: MM Lakeside
Material Information
Source Identification (SMARA, name of Pit or Job Site): See Mix
The fabricator's/manufacturer's product name for the sample:
The fabricator/manufacturer designation for the sample:
The plant number:
A detailed description of where the material sample was collected: Plant
Where the material sample would have been placed if not sampled:
Primary Aggregate Nominal Size: 1/2 inch
The concrete mix design number:
Lot number:
Sublot number:
Aggregate Mix Number: 21218180T3
Test Results
