Sample Record

DIME Sample ID 2024-11-12-28

Project Information

Project IdentifiersProject ID: 1000267
DEA: 070W6404
EFIS: 0722000357
DIST-CO-RTE-PM07-LA-2,134,170-Var
Award Date06/24/2024
Closeout Date07/24/2025
Work DescriptionMETHACRYLATE, POLYESTER OVERLAY, SPILL REPAIR AND JOINT SEALS.
Location DescriptionLOS ANGELES COUNTY AT VARIOUS LOCATIONS
QA Service Level1 (Verified on 09/16/2024)

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

Sample Information

Sample Taken Date11/12/2024 Sample Unique Key28
Date that the sample was received by the laboratory/organization performing the testing11/13/2024 Sample typeVerification
A brief description of the samplePSUE 1/2'' HMA-A-SP 15% RAP No LAS The quantity of what the sample constitutes4 bags comb Agg (1/2'',3/8'', rock dust, WCS) 1 Bag Rap
From where was the sample collectedManufacturer First name of sampler or witnessed byGerardo
Last name of sampler or witnessed byZubieta Title of sampler
Telephone number of sampler Laboratory sample identification0616A-24
Linked DIME Sample ID The fabricator/manufacturer/facility nameAll American Asphalt- Corona/ SJR
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)91-33-0005
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 collectedBelt Cut at All American Irwindale
Where the material sample would have been placed if not sampledAsphalt Paving Primary Aggregate Nominal Size1/2 inch
The concrete mix design number104775 Lot number
Sublot number Aggregate Mix Number

Submitted Tests

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