Sample Record

DIME Sample ID 2025-09-23-39

Project Information

Project IdentifiersProject ID: 1000164
DEA: 081N7804
EFIS: 0823000048
DIST-CO-RTE-PM08-SBD-40-R129.8/R135.9
Award Date06/24/2025
Closeout DateNot set
Work DescriptionRUBBERIZED HMA, COLD PLANE AC PVMT AND REPLACE AC SURFACING.
Location DescriptionSAN BERNARDINO COUNTY FROM 2.9 MILES WEST TO 3.2 MILES EAST OF ROUTE 95
QA Service Level1 (Verified on 05/15/2024)

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

Sample Information

Sample Taken Date09/23/2025 Sample Unique Key39
Date that the sample was received by the laboratory/organization performing the testing09/25/2025 Sample typeVerification
A brief description of the sampleJMF Verification, 1/2" RHMA G SP .4% EVO. LSM 1.0% The quantity of what the sample constitutes3 Bags of Combined LT Agg, 8 Bags of Virgin Agg, 1 Bag EA Hi-Nat & Crum Rubber
From where was the sample collectedManufacturer First name of sampler or witnessed byAlex
Last name of sampler or witnessed bySamano Title of sampler
Telephone number of sampler Laboratory sample identification0602G-25
Linked DIME Sample ID The fabricator/manufacturer/facility nameBlue Diamond-Victorville
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)91-36-0046
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, Blue Diamond - Victorville
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size1/2 inch
The concrete mix design number Lot number
Sublot number Aggregate Mix Number300191 LSM WMA

Submitted Tests

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