Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2025-09-11-39
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Project Information
| Project Identifiers | Project ID: 1001227 DEA: 074V5004 EFIS: 0723000160 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-210-R24.7/R25.3 |
| Award Date | 06/13/2025 |
| Closeout Date | 12/02/2025 |
| Work Description | OVERLAY AC SHOULDER, REPLACE SHOULDER, AND SLAB REPLACEMENT. |
| Location Description | LOS 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 Level | 1 (Verified on 07/02/2025) |
Sample Information
| Sample Taken Date | 09/11/2025 | Sample Unique Key | 39 |
|---|---|---|---|
| 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 | 09/18/2025 |
| Sample type | Verification | A brief description of the sample | PSUE 3/4'' WMA-A-SP R15 0.4% EVO |
| The quantity of what the sample constitutes | 6bags CMB Agg,3 Bags Rap | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Daniel | Last name of sampler or witnessed by | Sequoia |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | 0592A-25 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | AAA-Corona Quarry/SJR/Ingevity | 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 | Belt Cut at All American Asphalt Corona Plant | |
| Where the material sample would have been placed if not sampled | Asphalt Paving | Primary Aggregate Nominal Size | 3/4 inch |
| The concrete mix design number | 103793 | 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. | |||