Sample Record

DIME Sample ID 2025-12-06-3

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 Date12/06/2025 Sample Unique Key3
Date that the sample was received by the laboratory/organization performing the testing12/11/2025 Sample typeVerification
A brief description of the samplePSUE 3/4" HMA-A-SP R25 0.75% LAS The quantity of what the sample constitutes5 bags comb agg, 1 bag RAP
From where was the sample collectedManufacturer First name of sampler or witnessed byGerardo
Last name of sampler or witnessed byGerardo Zubieta Title of sampler
Telephone number of sampler Laboratory sample identification0690A-25
Linked DIME Sample ID The fabricator/manufacturer/facility nameIrwindale Fish Canyon/ SJR/ Ingevity/ Morlife
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)91-19-0016, 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 at Vulcan Irwindale Plant
Where the material sample would have been placed if not sampledAsphalt Paving Primary Aggregate Nominal Size3/4 inch
The concrete mix design number220200M IRW SJR Lot number
Sublot number Aggregate Mix Number

Submitted Tests

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