Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2025-12-06-3
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Project Information
| Project Identifiers | Project ID: 995228 DEA: 07347904 EFIS: 0718000123 |
|---|---|
| DIST-CO-RTE-PM | 07-LA-405-31.2/41.4 |
| Award Date | 03/07/2025 |
| Closeout Date | Not set |
| Work Description | COLD PLANE, PLACE HMA, RHMA, JPCP, ISR, & REPLACE BRIDGE SLABS. |
| Location Description | LOS ANGELES FROM WILSHIRE BOULEVARD UNDERCROSSING TO VICTORY BOULEVARD UNDERCROSSING |
| QA Service Level | 1 (Verified on 01/22/2024) |
Sample Information
| Sample Taken Date | 12/06/2025 | Sample Unique Key | 3 |
|---|---|---|---|
| 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 | 12/11/2025 |
| Sample type | Verification | A brief description of the sample | PSUE 3/4" HMA-A-SP R25 0.75% LAS |
| The quantity of what the sample constitutes | 5 bags comb agg, 1 bag RAP | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Gerardo | Last name of sampler or witnessed by | Gerardo Zubieta |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | 0690A-25 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Irwindale Fish Canyon/ SJR/ Ingevity/ Morlife | 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) | 91-19-0016, 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 collected | Belt Cut at Vulcan Irwindale Plant | |
| Where the material sample would have been placed if not sampled | Asphalt Paving | Primary Aggregate Nominal Size | 3/4 inch |
| The concrete mix design number | 220200M IRW SJR | 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. | |||