Sample Record
Owner Lab
- CT D11 - District 11 Materials Laboratory
DIME Sample ID 2025-10-10-10
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Project Information
| Project Identifiers | Project ID: 1001059 DEA: 112N2334 EFIS: 1124000191 |
|---|---|
| DIST-CO-RTE-PM | 11-SD-5,15-Var |
| Award Date | 05/22/2025 |
| Closeout Date | Not set |
| Work Description | MICROSURFACING, COLD PLANE, HMA TYPE A, SIGN INSTALLATION & STRIPING. |
| Location Description | SAN DIEGO COUNTY AT VARIOUS LOCATIONS |
| QA Service Level | 1 (Verified on 05/30/2025) |
Sample Information
| Sample Taken Date | 10/10/2025 | Sample Unique Key | 10 |
|---|---|---|---|
| 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 | 10/10/2025 |
| Sample type | Per Request | A brief description of the sample | Micro-surfacing |
| The quantity of what the sample constitutes | 1 bag | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Fahad | Last name of sampler or witnessed by | Masud |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | 25-10-10-10-S | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Pavement Coatings | 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) | Not Provided |
|---|---|---|---|
| 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 | Job Site | |
| Where the material sample would have been placed if not sampled | Rte. 5,15 / VAR | Primary Aggregate Nominal Size | 3/8 inch |
| The concrete mix design number | Lot number | ||
| Sublot number | Aggregate Mix Number |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2025-10-10-10-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2025-10-10-10-2 CTM 217-June 2011 (Verified)