Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2024-12-04-17
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 994328 DEA: 081H0604 EFIS: 0816000130 |
|---|---|
| DIST-CO-RTE-PM | 08-RIV-74-34.3/45.1 |
| Award Date | 04/03/2023 |
| Closeout Date | 08/26/2025 |
| Work Description | FIBER OPTIC CABLE SYSTEMS, RHMA, HMA, AND MINOR CONCRETE. |
| Location Description | RIVERSIDE COUNTY IN AND NEAR HEMET FROM WINCHESTER ROAD TO FAIRVIEW AVENUE |
| QA Service Level | 1 (Verified on 08/28/2023) |
Sample Information
| Sample Taken Date | 12/04/2024 | Sample Unique Key | 17 |
|---|---|---|---|
| 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 | 12/05/2024 |
| Sample type | Verification | A brief description of the sample | PSUE 1/2" RHMA-G-SP 1% LAS |
| The quantity of what the sample constitutes | 6 Bags of Comb agg. | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Maryanna | Last name of sampler or witnessed by | Landaverde |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | 0661G-24 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | AAA Perris/ SJR/ Morelife 500/ 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 | All American Asphalt - Perris | |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 1/2 inch | |
| The concrete mix design number | 106836 | 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. | |||