Sample Record for 2024-06-11-119
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 994944 DEA: 081J2304 EFIS: 0818000002
QA Service Level: 1
DIST-CO-RTE-PM: 08-RIV-60-R1.0/12.0
Work Description: RAMP METERING SYSTEM, HMA (TYPE A), RDWY EXC, MOD SIGNAL & LTG SYSTEMS
Location Description: RIVERSIDE COUNTY IN AND NEAR JURUPA VALLEY AND RIVERSIDE AT VARIOUS LOCATIONS FROM WINEVILLE ROAD UNDERCROSSING TO 0.2 MILE WEST OF ROUTE 60/91 SEPARATION
Contractor Name: POWELL CONSTRUCTORS INC
Contractor Address: 8555 BANANA AVE, FONTANA, CA 92335
Resident Engineer: Mahfual Alam Structure Rep.: Unknown
Sample Information
DIME Sample ID: 2024-06-11-119
TL Number from the TL Form:
Sample Submitted By Organization: CT D08 - Fontana Field Testing Laboratory
Sample Organization Contact: 9512323690
Type of Sample: Acceptance
Type of Material: Aggregate
Sample Taken Date: 06/11/2024
Date that the sample was received by the laboratory/organization performing the testing: 06/11/2024
The quantity of what the sample constitutes: 770.0 Tons @ 1:42am
A brief description of the sample: 3/4" HMA-A
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Blue Diamond Materials - Victorville
Material Information
Source Identification (SMARA, name of Pit or Job Site): 91-36-0046
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: Belt Cut at Blue Diamond Materials Victorville Plant
Where the material sample would have been placed if not sampled:
Primary Aggregate Nominal Size: 3/4 inch
The concrete mix design number:
Lot number:
Sublot number:
Aggregate Mix Number: 300154 R15 LSM
Test Results
