Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2024-11-12-28
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 1000267 DEA: 070W6404 EFIS: 0722000357 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-2,134,170-Var |
| Award Date | 06/24/2024 |
| Closeout Date | 07/24/2025 |
| Work Description | METHACRYLATE, POLYESTER OVERLAY, SPILL REPAIR AND JOINT SEALS. |
| Location Description | LOS ANGELES COUNTY AT VARIOUS LOCATIONS |
| QA Service Level | 1 (Verified on 09/16/2024) |
Sample Information
| Sample Taken Date | 11/12/2024 | Sample Unique Key | 28 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | Yes | Date that the sample was received by the laboratory/organization performing the testing | 11/13/2024 |
| Sample type | Verification | A brief description of the sample | PSUE 1/2'' HMA-A-SP 15% RAP No LAS |
| The quantity of what the sample constitutes | 4 bags comb Agg (1/2'',3/8'', rock dust, WCS) 1 Bag Rap | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Gerardo | Last name of sampler or witnessed by | Zubieta |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | 0616A-24 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | All American Asphalt- Corona/ SJR | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Bid Item | Not set |
Material Information
| Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | 91-33-0005 |
|---|---|---|---|
| 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 All American Irwindale | |
| Where the material sample would have been placed if not sampled | Asphalt Paving | Primary Aggregate Nominal Size | 1/2 inch |
| The concrete mix design number | 104775 | Lot number | |
| Sublot number | Aggregate Mix Number |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Date Added | Verified? | Release Date | Test Comments | Privacy Level | Actions |
|---|---|---|---|---|---|---|---|---|---|
| No results found. | |||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||