Sample Record

DIME Sample ID 2024-09-16-58

Project Information

Project IdentifiersProject ID: 214697
DEA: 07307104
EFIS: 0714000213
DIST-CO-RTE-PM07-LA-101-32.8
Award DateNot set
Closeout DateNot set
Work DescriptionCONSTRUCT BRIDGE.
Location DescriptionLOS ANGELES COUNTY IN AND NEAR AGOURA HILLS FROM 0.1 MILE WEST OF LIBERTY CANYON ROAD UNDERCROSSING TO 0.6 MILE EAST OF PALO COMADO OVERCROSSING
QA Service Level1 (Verified on 07/12/2021)

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

Sample Information

Sample Taken Date09/16/2024 Sample Unique Key58
Date that the sample was received by the laboratory/organization performing the testing09/18/2024 Sample typeVerification
A brief description of the sampleJMF 3/4" WMA-A-SP R25 0.50% EVO The quantity of what the sample constitutes4 Bags of comb. agg., 2 bags of RAP
From where was the sample collectedManufacturer First name of sampler or witnessed byJohn
Last name of sampler or witnessed byMeijah Title of sampler
Telephone number of sampler Laboratory sample identification0483A-24
Linked DIME Sample ID The fabricator/manufacturer/facility nameIngevity/ Valero/ Fish Canyon Irwindale/ Vulcan Sun Valley
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) Form
Structure unique identifier Structure name
Bid ItemNot set

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)91-19-0035
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 collectedBelt Cut at Vulcan Sun Valley Plant
Where the material sample would have been placed if not sampledAsphalt Paving Primary Aggregate Nominal Size3/4 inch
The concrete mix design number220200W SVA VLO Lot number
Sublot number Aggregate Mix Number

Submitted Tests

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