Sample Record

DIME Sample ID 2024-11-04-21

Project Information

Project IdentifiersProject ID: 1000101
DEA: 081J2904
EFIS: 0818000015
DIST-CO-RTE-PM08-RIV-215-25.0/R31.2
Award Date06/18/2024
Closeout DateNot set
Work DescriptionRHMA, HMA, REPLACE AC SURFACING, AND COLD PLANE AC PVMT.
Location DescriptionRIVERSIDE COUNTY IN AND NEAR PERRIS FROM 0.1 MILE SOUTH OF SAN JACINTO RIVER BRIDGE TO 0.3 MILE NORTH OF RAMONA EXPRESSWAY
QA Service Level1 (Verified on 05/15/2024)

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

Sample Information

Sample Taken Date11/04/2024 Sample Unique Key21
Date that the sample was received by the laboratory/organization performing the testing11/07/2024 Sample typeVerification
A brief description of the samplePSUE 3/4" HMA-A-SP R25 0.5% LAS The quantity of what the sample constitutes6 Bags Comb Agg. (3/4", 1/2", 3/8", Rock Dust, Washed Man Sand), 3 Bags of RAP
From where was the sample collectedManufacturer First name of sampler or witnessed byFernando
Last name of sampler or witnessed byCaranza Title of sampler
Telephone number of sampler Laboratory sample identification0605A-24
Linked DIME Sample ID The fabricator/manufacturer/facility nameChandler Agg/ Valero/ Ingevity
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)91-33-0098
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 collectedMartin Marieta - Lake Elsinore Plant
Where the material sample would have been placed if not sampledAsphalt Paving Primary Aggregate Nominal Size3/4 inch
The concrete mix design number53417195 Lot number
Sublot number Aggregate Mix Number

Submitted Tests

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