Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

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)

Sample Information

Sample Taken Date11/19/2025 Sample Unique Key40
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 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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