Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2024-11-25-13
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 993870 DEA: 120R5604 EFIS: 1218000117 |
|---|---|
| DIST-CO-RTE-PM | 12-ORA-5,55,73,91,133,405-var |
| Award Date | 04/12/2023 |
| Closeout Date | Not set |
| Work Description | PLACE RHMA-G, HMA, SLAB REPLACEMENT AND JPCP. |
| Location Description | ORANGE COUNTY AT VARIOUS LOCATIONS |
| QA Service Level | 1 (Verified on 06/14/2022) |
Sample Information
| Sample Taken Date | 11/25/2024 | Sample Unique Key | 13 |
|---|---|---|---|
| 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 | 12/03/2024 |
| Sample type | Verification | A brief description of the sample | 3/4'' RHMA-G-SP 0.5% |
| The quantity of what the sample constitutes | 3bags comb agg(3/4,1/2,3/8, rock dust | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Jimmy | Last name of sampler or witnessed by | Pham |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | All American Asphalt 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 | Belt Cut at All American Asphalt Corona Plant | |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 3/4 inch | |
| The concrete mix design number | 106835 | 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. | |||