Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2025-09-08-31
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 1000611 DEA: 120R32U4 EFIS: 1222000054 |
|---|---|
| DIST-CO-RTE-PM | 12-ORA-55-0.2/R17.8 |
| Award Date | 02/07/2025 |
| Closeout Date | Not set |
| Work Description | COLD PLANE, PLACE RHMA, REPLACE CB, SIGNS AND MODIFY LIGHTING SYSTEM. |
| Location Description | ORANGE COUNTY FROM 0.1 MILE SOUTH OF ROUTE 55/1 SEPARATION IN NEWPORT BEACH TO ROUTE 55/91 SEPARATION IN ANAHEIM |
| QA Service Level | 1 (Verified on 09/30/2024) |
Sample Information
| Sample Taken Date | 09/08/2025 | Sample Unique Key | 31 |
|---|---|---|---|
| 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 | 09/12/2025 |
| Sample type | Verification | A brief description of the sample | JMF Verification, 1/2" HMA-A-SP R25 0.25% Evo |
| The quantity of what the sample constitutes | 4 Bags Combined Aggregate, 2 Bags Combined RAP | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Drake | Last name of sampler or witnessed by | Gustafson |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | RJ Noble - Orange | 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) | 91-330035 |
|---|---|---|---|
| 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, RJ Noble - Orange | |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 1/2 inch | |
| The concrete mix design number | 40R2508SPWEO | 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. | |||