Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2025-10-16-22
Project Information
| Project Identifiers | Project ID: 1000082 DEA: 081J8704 EFIS: 0818000124 |
|---|---|
| DIST-CO-RTE-PM | 08-RIV-15-16.3/52.3 |
| Award Date | 07/10/2024 |
| Closeout Date | Not set |
| Work Description | MINOR CONCRETE, HMA (TYPE A), MODIFYING SIGNAL AND LIGHTING SYSTEMS. |
| Location Description | RIVERSIDE COUNTY AT VARIOUS LOCATIONS FROM BUNDY CANYON ROAD UNDERCROSSING IN WILDOMAR TO PHILADELPHIA STREET UNDERCROSSING IN EASTVALE |
| QA Service Level | 1 (Verified on 02/06/2024) |
Sample Information
| Sample Taken Date | 10/16/2025 | Sample Unique Key | 22 |
|---|---|---|---|
| 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 | 10/20/2025 |
| Sample type | Verification | A brief description of the sample | 3/4" HMA-A-Sp-R25% EVO 0.25% |
| The quantity of what the sample constitutes | 24 boxes of hma, 4 bags of cmb aggs, 2 bags of rap | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Jacob | Last name of sampler or witnessed by | RJ Noble QC |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | RJ Noble-Corona | 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) | 91-33-0014, 91-33-0039 |
|---|---|---|---|
| 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 | Belt Cut at RJ Noble Corona Plant | |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 3/4 inch | |
| The concrete mix design number | Lot number | ||
| Sublot number | Aggregate Mix Number |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Date Added | Verified? | Release Date | Test Comments | Privacy Level | Actions |
|---|---|---|---|---|---|---|---|---|---|
| No results found. | |||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
