Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2024-11-15-30
Sample Details QR Code
Scan this code to open this Sample Details view on another device.
Project Information
| Project Identifiers | Project ID: 1000254 DEA: 070W6704 EFIS: 0723000018 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-103-0.0/1.7 |
| Award Date | 06/28/2024 |
| Closeout Date | 05/07/2025 |
| Work Description | COLD PLANE AND OVERLAY, REPLACE ASPHALT CONCRETE SURFACING. |
| Location Description | LOS ANGELES COUNTY IN LOS ANGELES AND LONG BEACH FROM 0.1 MILE SOUTH OF UNION PACIFIC OVERHEAD TO 0.1 MILE NORTH OF ROUTE 1/103 SEPARATION |
| QA Service Level | 1 (Verified on 09/16/2024) |
Sample Information
| Sample Taken Date | 11/15/2024 | Sample Unique Key | 30 |
|---|---|---|---|
| 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 | 11/20/2024 |
| Sample type | Verification | A brief description of the sample | 1/2" HMA A SP R15 NO LAS |
| The quantity of what the sample constitutes | 3 BAGS OF COMB AGG(1/2,3/8,, ROCK DUST,WCS), 1 BAGOF RAP | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Gerry | Last name of sampler or witnessed by | Zubieta |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | 0635A-24 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | AAA Corona | 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 | SJR,CORONA QUARRR | |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 1/2 inch | |
| The concrete mix design number | 104775-CORONA | 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. | |||