Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2025-09-24-37

Project Information

Project IdentifiersProject ID: 1001225
DEA: 070Y1604
EFIS: 0724000137
DIST-CO-RTE-PM07-LA-210-R9.9/R22.5
Award Date06/26/2025
Closeout DateNot set
Work DescriptionSLAB REPLACEMENT, SLURRY SEAL, AND DIGOUTS.
Location DescriptionLOS ANGELES COUNTY, IN LOS ANGELES, LA CANADA FLINTRIDGE, GLENDALE, AND PASADENA FROM BIG TUJUNGA WASH BRIDGE TO ARROYO BOULEVARD OVERCROSSING
QA Service Level1 (Verified on 07/02/2025)

Sample Information

Sample Taken Date09/24/2025 Sample Unique Key37
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 testing09/29/2025
Sample typeVerification A brief description of the sample3/4'' HMA-A-SP R15 NO LAS
The quantity of what the sample constitutes7 BGS CMB AGG, 3BGS RAP From where was the sample collectedManufacturer
First name of sampler or witnessed byRon Last name of sampler or witnessed bysequoia
Title of sampler Telephone number of sampler
Laboratory sample identification0610A-25 Linked DIME Sample ID
The fabricator/manufacturer/facility nameAAA-Corona/ SJR 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 Irwindale Plant
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size3/4 inch
The concrete mix design number105793 Lot number
Sublot number Aggregate Mix Number

Submitted Tests

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