Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2025-09-22-27

Project Information

Project IdentifiersProject ID: 994586
DEA: 081C08U4
EFIS: 0822000142
DIST-CO-RTE-PM08-RIV-10-R134.0/R156.5
Award Date06/22/2023
Closeout DateNot set
Work DescriptionPLACE HMA (TYPE A), JPCP, IMPORTED BORROW, ROADWAY EXCAVATION & CL2 AB
Location DescriptionRIVERSIDE COUNTY FROM 1.1 MILES WEST OF WILEY WELL ROAD OVERCROSSING TO CALIFORNIA/ARIZONA STATE LINE
QA Service Level1 (Verified on 08/02/2023)

Sample Information

Sample Taken Date09/22/2025 Sample Unique Key27
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 testing09/26/2025
Sample typeVerification A brief description of the sampleMilestone 3/4" HMA-A-SP R24 1.0% LSM
The quantity of what the sample constitutes8 Bags L.T. Agg, 6 Bags Virgin Agg, 2 Bags Rap From where was the sample collectedManufacturer
First name of sampler or witnessed byEriberto Last name of sampler or witnessed byAragon
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameFisher Sand and Gravel-Tempe 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)CM203 Ehrenberg
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 Fisher Sand and Gravel-Tempe
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size3/4 inch
The concrete mix design number Lot number
Sublot number Aggregate Mix Number

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
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