Sample Record

DIME Sample ID 2025-09-11-39

Project Information

Project IdentifiersProject ID: 1001227
DEA: 074V5004
EFIS: 0723000160
DIST-CO-RTE-PM07-LA-210-R24.7/R25.3
Award Date06/13/2025
Closeout Date12/02/2025
Work DescriptionOVERLAY AC SHOULDER, REPLACE SHOULDER, AND SLAB REPLACEMENT.
Location DescriptionLOS ANGELES COUNTY IN PASADENA FROM 0.1 MILE EAST OF ORANGE GROVE BOULEVARD OVERCROSSING TO 0.2 MILE WEST OF MARENGO AVENUE OVERCROSSING
QA Service Level1 (Verified on 07/02/2025)

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

Sample Information

Sample Taken Date09/11/2025 Sample Unique Key39
Date that the sample was received by the laboratory/organization performing the testing09/18/2025 Sample typeVerification
A brief description of the samplePSUE 3/4'' WMA-A-SP R15 0.4% EVO The quantity of what the sample constitutes6bags CMB Agg,3 Bags Rap
From where was the sample collectedManufacturer First name of sampler or witnessed byDaniel
Last name of sampler or witnessed bySequoia Title of sampler
Telephone number of sampler Laboratory sample identification0592A-25
Linked DIME Sample ID The fabricator/manufacturer/facility nameAAA-Corona Quarry/SJR/Ingevity
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)91-33-0005
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 collectedBelt Cut at All American Asphalt Corona Plant
Where the material sample would have been placed if not sampledAsphalt Paving Primary Aggregate Nominal Size3/4 inch
The concrete mix design number103793 Lot number
Sublot number Aggregate Mix Number

Submitted Tests

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