Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2025-08-01-49
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 1000891 DEA: 120U8104 |
|---|---|
| DIST-CO-RTE-PM | 12-ORA-57-11.0/22.5 |
| Award Date | 04/17/2025 |
| Closeout Date | Not set |
| Work Description | REMOVE AND REPLACE RHMA, PAVEMENT MARKING AND ROADSIDE SIGN. |
| Location Description | ORANGE COUNTY AT VARIOUS LOCATIONS FROM ROUTE 5/22/57 SEPARATION TO 0.3 MILE SOUTH OF LOS ANGELES COUNTY LINE |
| QA Service Level | 1 (Verified on 01/23/2025) |
Sample Information
| Sample Taken Date | 08/01/2025 | Sample Unique Key | 49 |
|---|---|---|---|
| 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 | 08/20/2025 |
| Sample type | Verification | A brief description of the sample | 1/2" RHMA-G-SP 1.0% LAS |
| The quantity of what the sample constitutes | 4 Bags comb agg,1 Bag each Hi- Nat and Crumb | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | VICTOR | Last name of sampler or witnessed by | Capacete QC |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | 0521G-25 | 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 | AAA Corona/SJR/ROHM HAAS | |
| 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. | |||