Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2025-09-24-48

Project Information

Project IdentifiersProject ID: 994583
DEA: 07333604
EFIS: 0716000313
DIST-CO-RTE-PM07-LA-2-2.3/14.2
Award Date11/26/2024
Closeout DateNot set
Work DescriptionCOLD PLANE AC, PLACE HMA, REPLACE CURB RAMPS AND TRAFFIC SIGNALS.
Location DescriptionLOS ANGELES COUNTY IN LOS ANGELES AT VARIOUS LOCATIONS FROM CENTINELA AVENUE TO GLENDALE BOULEVARD UNDERCROSSING
QA Service Level1 (Verified on 07/24/2023)

Sample Information

Sample Taken Date09/24/2025 Sample Unique Key48
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 testing10/01/2025
Sample typeVerification A brief description of the sampleJMF Verification, 3/4" WMA A SP R25 EVO .6%
The quantity of what the sample constitutes5 Bags of Combined Aggregate, 4 Bags of RAP From where was the sample collectedManufacturer
First name of sampler or witnessed bySully Miller QC Last name of sampler or witnessed bySully Miller QC
Title of sampler Telephone number of sampler
Laboratory sample identification0616A-25 Linked DIME Sample ID
The fabricator/manufacturer/facility nameBlue Diamond-Irwindale 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)91-19-0052
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 Vulcan Irwindale Plant
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size3/4 inch
The concrete mix design number300154-R25 WMA Lot number
Sublot number Aggregate Mix Number300154R25WMA

Submitted Tests

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