Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2025-09-23-39
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Project Information
| Project Identifiers | Project ID: 1000164 DEA: 081N7804 EFIS: 0823000048 |
|---|---|
| DIST-CO-RTE-PM | 08-SBD-40-R129.8/R135.9 |
| Award Date | 06/24/2025 |
| Closeout Date | Not set |
| Work Description | RUBBERIZED HMA, COLD PLANE AC PVMT AND REPLACE AC SURFACING. |
| Location Description | SAN BERNARDINO COUNTY FROM 2.9 MILES WEST TO 3.2 MILES EAST OF ROUTE 95 |
| QA Service Level | 1 (Verified on 05/15/2024) |
Sample Information
| Sample Taken Date | 09/23/2025 | 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 | 09/25/2025 |
| Sample type | Verification | A brief description of the sample | JMF Verification, 1/2" RHMA G SP .4% EVO. LSM 1.0% |
| The quantity of what the sample constitutes | 3 Bags of Combined LT Agg, 8 Bags of Virgin Agg, 1 Bag EA Hi-Nat & Crum Rubber | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Alex | Last name of sampler or witnessed by | Samano |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | 0602G-25 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Blue Diamond-Victorville | 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) | 91-36-0046 |
|---|---|---|---|
| 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 collected | Belt cut, Blue Diamond - Victorville | |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 1/2 inch | |
| The concrete mix design number | Lot number | ||
| Sublot number | Aggregate Mix Number | 300191 LSM WMA |
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. | |||