Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2024-12-04-34
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Project Information
| Project Identifiers | Project ID: 994586 DEA: 081C08U4 EFIS: 0822000142 |
|---|---|
| DIST-CO-RTE-PM | 08-RIV-10-R134.0/R156.5 |
| Award Date | 06/22/2023 |
| Closeout Date | Not set |
| Work Description | PLACE HMA (TYPE A), JPCP, IMPORTED BORROW, ROADWAY EXCAVATION & CL2 AB |
| Location Description | RIVERSIDE COUNTY FROM 1.1 MILES WEST OF WILEY WELL ROAD OVERCROSSING TO CALIFORNIA/ARIZONA STATE LINE |
| QA Service Level | 1 (Verified on 08/02/2023) |
Sample Information
| Sample Taken Date | 12/04/2024 | Sample Unique Key | 34 |
|---|---|---|---|
| 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 | 12/09/2024 |
| Sample type | Verification | A brief description of the sample | JMF 1/2'' RHMA-G PG64-16 1% LMS |
| The quantity of what the sample constitutes | 4 Bags comb virgin agg, 4 BAGS OF CRM, 2 bags of ea bin size LT Agg, 2 bags ea bin size virgin agg | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | KRISTOPHER | Last name of sampler or witnessed by | Martinez |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | 0670G-24 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | LHOIST, HF SINCLAIR, CRM OF AMER, FISHER SAND & GRAVEL | 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) | Fisher Sand & Gravel Co. Tempe, AZ 85284 |
|---|---|---|---|
| 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 FISHER SAND AND GRAVEL TEMPE AZ | |
| Where the material sample would have been placed if not sampled | Asphalt Paving | Primary Aggregate Nominal Size | 1/2 inch |
| The concrete mix design number | 529AKR | 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. | |||