Sample Record

Owner Lab

  • CT D11 - District 11 Materials Laboratory

DIME Sample ID 2025-12-02-21

Project Information

Project IdentifiersProject ID: 1001213
DEA: 11431644
EFIS: 1122000232
DIST-CO-RTE-PM11-SD-78-N17.7
Award DateNot set
Closeout DateNot set
Work DescriptionCold plane, RHMA overlay, Concrete Barriers, Landscape and Electrical.
Location DescriptionIN SAN DIEGO COUNTY FROM ROUTE 78/5 SEPARATION TO 0.3 MILE EAST OF ESCONDIDO BOULEVARD UNDERCROSSING.
QA Service Level1 (Verified on 05/07/2025)

Sample Information

Sample Taken Date12/02/2025 Sample Unique Key21
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 testing12/03/2025
Sample typePer Request A brief description of the samplePlant Sample
The quantity of what the sample constitutes3 bags From where was the sample collectedSource
First name of sampler or witnessed byKleinfelder Last name of sampler or witnessed byKleinfelder
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameCemex Escondido 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)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 collectedPlant
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size1 inch
The concrete mix design number1610838 Lot number
Sublot number Aggregate Mix Number

Submitted Tests

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