Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2025-09-16-37

Project Information

Project IdentifiersProject ID: 1000665
DEA: 081K4004
EFIS: 0819000031
DIST-CO-RTE-PM08-RIV-15-3.5/6.8
Award Date01/29/2025
Closeout DateNot set
Work DescriptionHMA (TYPE A), RDWY EXC, STR CONC RET WALL, RUBBERIZED HMA (OGFC).
Location DescriptionTEMECULA FROM 0.1 MI NORTH OF TEMECULA PARKWAY TO 0.2 MI NORTH OF WINCHESTER ROAD
QA Service Level1 (Verified on 01/13/2025)

Sample Information

Sample Taken Date09/16/2025 Sample Unique Key37
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 testing09/17/2025
Sample typeVerification A brief description of the sampleJMF 1/2'' RHMA-O SP NO LAS
The quantity of what the sample constitutes6BAGS Virgin bin agg,1bag ea HI-NAT&CRM RUBBER From where was the sample collectedManufacturer
First name of sampler or witnessed byJACOB Last name of sampler or witnessed byMCPHERSON
Title of sampler Telephone number of sampler
Laboratory sample identification0590O-25 Linked DIME Sample ID
The fabricator/manufacturer/facility nameWorld oil, SJR, CRM, M.M. (91-33-0014) 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)91-33-0014
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 at RJ Noble Corona Plant
Where the material sample would have been placed if not sampledAsphalt Paving Primary Aggregate Nominal Size1/2 inch
The concrete mix design number51R003ARSPC Lot number
Sublot number Aggregate Mix Number

Submitted Tests

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