Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2026-03-17-31

Project Information

Project IdentifiersProject ID: 1000857
DEA: 07346504
EFIS: 0718000075
DIST-CO-RTE-PM07-LA-91-6.0/R20.7
Award Date07/14/2025
Closeout DateNot set
Work DescriptionREPLACE OVERHEAD SIGNS & SIGN STRUCTURES, CONSTRUCT MVPS & LANDSCAPING
Location DescriptionLOS ANGELES COUNTY ON ROUTE 91 AT VARIOUS LOCATIONS FROM VERMONT AVENUE IN LOS ANGELES TO THE ORANGE COUNTY LINE IN CERRITOS
QA Service Level1 (Verified on 01/13/2025)

Sample Information

Sample Taken Date03/17/2026 Sample Unique Key31
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 testing03/23/2026
Sample typeProduction Start-Up A brief description of the sample3/4" WMA-A-r25% 0.25 Evo
The quantity of what the sample constitutes4 Bags of Combined Aggregate, 2 Bags of Combined RAP From where was the sample collectedManufacturer
First name of sampler or witnessed byJT Last name of sampler or witnessed byBaher
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameVulcan Corona 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)119-33-0027, 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 collectedBelt cut
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size3/4 inch
The concrete mix design number220200W CORD SJR Lot number
Sublot number Aggregate Mix Number

Submitted Tests

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