Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2026-02-17-12

Project Information

Project IdentifiersProject ID: 1001098
DEA: 081P0804
EFIS: 0823000089
DIST-CO-RTE-PM08-RIV-10-7.0/44.5
Award Date06/03/2025
Closeout DateNot set
Work DescriptionFURNISH & PLACE POLYESTER CONCRETE OVERLAY, JOINT SEAL, HMA (BRIDGE).
Location DescriptionRIVERSIDE COUNTY AT VARIOUS LOCATIONS FROM VEILE AVENUE UNDERCROSSING IN BEAUMONT TO MONTEREY AVENUE OVERCROSSING AT THOUSAND PALMS
QA Service Level1 (Verified on 04/07/2025)

Sample Information

Sample Taken Date02/17/2026 Sample Unique Key12
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 testing02/20/2026
Sample typeVerification A brief description of the sampleJMF Verification
The quantity of what the sample constitutes3 bags of 1/2", 3 bags of 3/8", 3 bags of Rock-dust, 3 bags of Comb RAP, 1 bag of Mineral filler From where was the sample collectedManufacturer
First name of sampler or witnessed byMM QC Last name of sampler or witnessed byMM QC
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameMartin Marietta 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)19-33-0084
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
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size1/2 inch
The concrete mix design number41217195WM Lot number
Sublot number Aggregate Mix Number41217195WM

Submitted Tests

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