Sample Record for 2026-08-17-95
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 1001444 DEA: 11430314 EFIS: 1118000095
QA Service Level: 1
DIST-CO-RTE-PM: 11-SD-67-R4.1/15.9
Work Description: CULVERT RESTORATION, REPLACE SIGNS, ADA CURB RAMPS, AND LED LIGHTING.
Location Description: SAN DIEGO COUNTY FROM 0.2 MILE NORTH OF RIVERFORD ROAD AT LAKESIDE TO ELLIE LANE IN POWAY
Contractor Name: HAZARD CONSRUCTION ENGR, LLC
Contractor Address: 10529 Vine street, Lakeside CA, 92040
Resident Engineer: Sultan Ghazialam Structure Rep.: Unknown
Sample Information
DIME Sample ID: 2026-08-17-95
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: Quality Assurance
Type of Material: Aggregate
Sample Taken Date: 08/17/2026
Date that the sample was received by the laboratory/organization performing the testing: 07/15/2026
The quantity of what the sample constitutes: 3 bags
A brief description of the sample: Concrete Aggregates
From where was the sample collected: Supplier
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Robertson's El Cajon
Material Information
Source Identification (SMARA, name of Pit or Job Site): Not Provided
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 inch
The concrete mix design number: RRM 20047
Lot number:
Sublot number:
Aggregate Mix Number:
Test Results
