Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2026-03-03-30

Project Information

Project IdentifiersProject ID: 995493
DEA: 081G6704
EFIS: 0816000049
DIST-CO-RTE-PM08-RIV-79-5.4/11.4
Award Date05/23/2024
Closeout DateNot set
Work DescriptionHOT MIX ASPHALT, SOIL NAIL, STRUCTURAL CONCRETE AND ROADWAY EXC.
Location DescriptionRIVERSIDE COUNTY NEAR TEMECULA FROM 0.4 MILE SOUTH OF SAGE ROAD TO 1.1 MILES SOUTH OF PAUBA ROAD
QA Service Level1 (Verified on 12/18/2023)

Sample Information

Sample Taken Date03/03/2026 Sample Unique Key30
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 testing03/05/2026
Sample typeQuality Assurance A brief description of the sampleCONCRETE CYLINDERS
The quantity of what the sample constitutes6 From where was the sample collectedJob Site
First name of sampler or witnessed byF Last name of sampler or witnessed byALSET
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID1081-10
The fabricator/manufacturer/facility nameROBERTSONS Transportation Laboratory (TL) Number117510
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name Bid ItemNot set

Material Information

Material TypeConcrete The concrete mix design number5236125A
The truck number from where the sample was collectedNA The batch plant ticket number from where the sample was collectedNA
Concrete batch plantNA The fabricator/manufacturer designation for the sampleNA
A detailed description of where the material sample was collectedNA Where the material sample would have been placed if not sampledRW343 FOOTING
From Lot No. Bag Lot No.

Submitted Tests

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