Sample Record

DIME Sample ID 2025-12-20-3

Project Information

Project IdentifiersProject ID: 1001850
DEA: 081T3304
EFIS: 0826000040
DIST-CO-RTE-PM08-SBD-38-
Award DateNot set
Closeout DateNot set
Work DescriptionNot set
Location DescriptionNot set
QA Service Level1 (Verified on 11/26/2025)

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

Sample Information

Sample Taken Date12/20/2025 Sample Unique Key3
Date that the sample was received by the laboratory/organization performing the testing12/23/2025 Sample typeVerification
A brief description of the samplePSUE 3/4" HMA-A- SP R20% EVO 0.5% The quantity of what the sample constitutes3 bags comb agg, 1 bag EA RAP (Coarse and Fine)
From where was the sample collectedManufacturer First name of sampler or witnessed byIdris
Last name of sampler or witnessed byNajjar Title of sampler
Telephone number of sampler Laboratory sample identification0703A-25
Linked DIME Sample ID The fabricator/manufacturer/facility nameValero, Ingevity, Cemex Lytle Creek
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)91-36-0040
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 Matich Lytle Creek Plant
Where the material sample would have been placed if not sampledAsphalt Paving Primary Aggregate Nominal Size3/4 inch
The concrete mix design numberB6Z Lot number
Sublot number Aggregate Mix Number

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
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