Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2025-12-17-17
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 1000607 DEA: 081K6904 EFIS: 0819000090 |
|---|---|
| DIST-CO-RTE-PM | 08-RIV-74-5.7/11.8 |
| Award Date | 01/09/2025 |
| Closeout Date | Not set |
| Work Description | ROCK EXCAVATION, HMA (TYPE A), RHMA-G, AND CABLE NET DRAPERY SYSTEM. |
| Location Description | RIVERSIDE COUNTY IN AND NEAR LAKE ELSINORE FROM MONTE VISTA STREET TO GRAND AVENUE |
| QA Service Level | 1 (Verified on 01/13/2025) |
Sample Information
| Sample Taken Date | 12/17/2025 | Sample Unique Key | 17 |
|---|---|---|---|
| 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 | 12/19/2025 |
| Sample type | Verification | A brief description of the sample | PSUE 3/4" HMA-A-SP R25% LAS 0.5% |
| The quantity of what the sample constitutes | 6 bags comb agg, 3 bags RAP | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Dylan | Last name of sampler or witnessed by | Nault |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | 0700A-25 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Valero, Ingevity, Chandler Agg Lake Elsinore | 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) | 91-33-0098 |
|---|---|---|---|
| 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 martin Marietta | |
| 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 | 53417105 | 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. | |||