Sample Record

DIME Sample ID 2024-11-13-51

Project Information

Project IdentifiersProject ID: 995085
DEA: 07322904
EFIS: 0716000059
DIST-CO-RTE-PM07-LA-27-0.0/18.6
Award Date11/06/2023
Closeout DateNot set
Work DescriptionREMOVE EXISTING AC PAVEMENT & HMA OVERLAY.
Location DescriptionLOS ANGELES COUNTY IN AND NEAR LOS ANGELES FROM ROUTE 1 TO DEVONSHIRE STREET
QA Service Level1 (Verified on 09/11/2023)

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

Sample Information

Sample Taken Date11/13/2024 Sample Unique Key51
Date that the sample was received by the laboratory/organization performing the testing11/15/2024 Sample typeVerification
A brief description of the samplePSUE 1/2" WMA-A-SP R25 0.25% EVO The quantity of what the sample constitutes4 Bags of Comb agg (1/2", 3/8", Rock dust, State Sand), 2 bags of RAP
From where was the sample collectedManufacturer First name of sampler or witnessed byCesar
Last name of sampler or witnessed byGomez Title of sampler
Telephone number of sampler Laboratory sample identification0633A-24
Linked DIME Sample ID The fabricator/manufacturer/facility nameFish Canyon Irwindale/ Vulcan Sun Valley/ Ingevity/ VLO
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, 91-19-0016
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 collectedVulcan Sun Valley
Where the material sample would have been placed if not sampledAsphalt Paving Primary Aggregate Nominal Size3/8 inch
The concrete mix design number320200W SVA VLO Lot number
Sublot number Aggregate Mix Number

Submitted Tests

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