Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2025-10-15-22

Project Information

Project IdentifiersProject ID: 995493
DEA: 081G6704
EFIS: 0816000049
DIST-CO-RTE-PM08-RIV-79-5.4/11.4
Award Date05/23/2024
Closeout DateNot set
Work DescriptionHOT MIX ASPHALT, SOIL NAIL, STRUCTURAL CONCRETE AND ROADWAY EXC.
Location DescriptionRIVERSIDE COUNTY NEAR TEMECULA FROM 0.4 MILE SOUTH OF SAGE ROAD TO 1.1 MILES SOUTH OF PAUBA ROAD
QA Service Level1 (Verified on 12/18/2023)

Sample Information

Sample Taken Date10/15/2025 Sample Unique Key22
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 testing10/17/2025
Sample typeVerification A brief description of the samplePSUE 3/4" HMA-A-SP R25 LAS 0.5%
The quantity of what the sample constitutes2 bags comb agg, 1 bag RAP From where was the sample collectedManufacturer
First name of sampler or witnessed byDylan Last name of sampler or witnessed byNault
Title of sampler Telephone number of sampler
Laboratory sample identification0649A-25 Linked DIME Sample ID
The fabricator/manufacturer/facility nameChandler Agg/ Valero/ Ingevity 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)91-33-0098
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 Martin Marietta Lake Elsinore Plant
Where the material sample would have been placed if not sampledAsphalt Paving Primary Aggregate Nominal Size3/4 inch
The concrete mix design number53417195 Lot number
Sublot number Aggregate Mix Number

Submitted Tests

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