Sample Record for 2022-08-08-10
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 993649 DEA: 081M0304 EFIS: 0821000062
QA Service Level: 1
DIST-CO-RTE-PM: 08-RIV-177-0.0/27.0
Work Description: PLACE RUBBERIZED HMA, TRAFFIC STRIPING & COLD PLANE ASPHALT CONCRETE.
Location Description: RIVERSIDE COUNTY NEAR DESERT CENTER FROM ROUTE 10/177 SEPARATION TO ROUTE 62
Contractor Name: Martin Marietta -ATP General Engineering Construction
Contractor Address: 4211 Ponderosa Ave. Suite C, San Diego, CA 92123
Resident Engineer: Peter Koury Structure Rep.: Unknown
Sample Information
DIME Sample ID: 2022-08-08-10
TL Number from the TL Form:
Sample Submitted By Organization: CT D08 - Fontana Southern Regional Laboratory
Sample Organization Contact: 213-792-4794
Type of Sample: Verification
Type of Material: Aggregate
Sample Taken Date: 08/08/2022
Date that the sample was received by the laboratory/organization performing the testing: 08/09/2022
The quantity of what the sample constitutes: 8 Bags Bin Agg., 2 Bags Rap 1 Bag Mineral Agg.,
A brief description of the sample: 3/4" HMA-A-SP R24 0.4% Evo
From where was the sample collected: Manufacturer
Laboratory sample identification: 0531A-22
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Martin Marietta -Coachella
Material Information
Source Identification (SMARA, name of Pit or Job Site): 91-33-0084
The fabricator's/manufacturer's product name for the sample:
The fabricator/manufacturer designation for the sample:
The plant number: 43417105
A detailed description of where the material sample was collected: Belt Cut ay Martin Marietta -Coachella
Where the material sample would have been placed if not sampled: Asphalt Paving
Primary Aggregate Nominal Size: 3/4 inch
The concrete mix design number:
Lot number:
Sublot number:
Aggregate Mix Number:
Test Results
