Sample Record

DIME Sample ID 2024-12-04-34

Project Information

Project IdentifiersProject ID: 994586
DEA: 081C08U4
EFIS: 0822000142
DIST-CO-RTE-PM08-RIV-10-R134.0/R156.5
Award Date06/22/2023
Closeout DateNot set
Work DescriptionPLACE HMA (TYPE A), JPCP, IMPORTED BORROW, ROADWAY EXCAVATION & CL2 AB
Location DescriptionRIVERSIDE COUNTY FROM 1.1 MILES WEST OF WILEY WELL ROAD OVERCROSSING TO CALIFORNIA/ARIZONA STATE LINE
QA Service Level1 (Verified on 08/02/2023)

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

Sample Information

Sample Taken Date12/04/2024 Sample Unique Key34
Date that the sample was received by the laboratory/organization performing the testing12/09/2024 Sample typeVerification
A brief description of the sampleJMF 1/2'' RHMA-G PG64-16 1% LMS The quantity of what the sample constitutes4 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 collectedManufacturer First name of sampler or witnessed byKRISTOPHER
Last name of sampler or witnessed byMartinez Title of sampler
Telephone number of sampler Laboratory sample identification0670G-24
Linked DIME Sample ID The fabricator/manufacturer/facility nameLHOIST, 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 ItemNot set

Material Information

Material TypeAggregate 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 collectedbelt cut FISHER SAND AND GRAVEL TEMPE AZ
Where the material sample would have been placed if not sampledAsphalt Paving Primary Aggregate Nominal Size1/2 inch
The concrete mix design number529AKR Lot number
Sublot number Aggregate Mix Number

Submitted Tests

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