Sample Record

DIME Sample ID 2025-11-19-40

Project Information

Project IdentifiersProject ID: 995228
DEA: 07347904
EFIS: 0718000123
DIST-CO-RTE-PM07-LA-405-31.2/41.4
Award Date03/07/2025
Closeout DateNot set
Work DescriptionCOLD PLANE, PLACE HMA, RHMA, JPCP, ISR, & REPLACE BRIDGE SLABS.
Location DescriptionLOS ANGELES FROM WILSHIRE BOULEVARD UNDERCROSSING TO VICTORY BOULEVARD UNDERCROSSING
QA Service Level1 (Verified on 01/22/2024)

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

Sample Information

Sample Taken Date11/19/2025 Sample Unique Key40
Date that the sample was received by the laboratory/organization performing the testing11/24/2025 Sample typeVerification
A brief description of the sample3/4" WMA A SP, R25 Evo.50%, Mix # 220200W IRW VLO The quantity of what the sample constitutes4 Bags of Combined Aggregate, 2 Bags of RAP
From where was the sample collectedManufacturer First name of sampler or witnessed byJohn
Last name of sampler or witnessed byVulcan QC Title of sampler
Telephone number of sampler Laboratory sample identification0683A-25
Linked DIME Sample ID The fabricator/manufacturer/facility nameVulcan 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)91-19-0035
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
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size3/4 inch
The concrete mix design number Lot number
Sublot number Aggregate Mix Number220200W IRW VLO

Submitted Tests

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