Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2024-12-06-8

Project Information

Project IdentifiersProject ID: 1000254
DEA: 070W6704
EFIS: 0723000018
DIST-CO-RTE-PM07-LA-103-0.0/1.7
Award Date06/28/2024
Closeout Date05/07/2025
Work DescriptionCOLD PLANE AND OVERLAY, REPLACE ASPHALT CONCRETE SURFACING.
Location DescriptionLOS 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 Level1 (Verified on 09/16/2024)

Sample Information

Sample Taken Date12/06/2024 Sample Unique Key8
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 testing12/09/2024
Sample typeProduction Start-Up A brief description of the sample1/2" wma-a-sp r15 0.40% evo p25
The quantity of what the sample constitutes3 bags comb aggs(1/2,3/8, rock dust wcs ),1 bag of rap From where was the sample collectedManufacturer
First name of sampler or witnessed byGERAEDO Last name of sampler or witnessed byZubieta
Title of sampler Telephone number of sampler
Laboratory sample identification0669A-24 Linked DIME Sample ID
The fabricator/manufacturer/facility nameAAA-Corona 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 collectedAAA-CORONA QUARRY/SJR/INGEVITY
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size1/2 inch
The concrete mix design number102775 Lot number
Sublot number Aggregate Mix Number

Submitted Tests

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