Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2026-03-20-44

Project Information

Project IdentifiersProject ID: 66667
DEA: JMFPP
EFIS: 0019000043
DIST-CO-RTE-PM59---
Award DateNot set
Closeout DateNot set
Work DescriptionSpecial project for submitting Sample information for JMF Prequalification Program.
Location DescriptionNot set
QA Service LevelNOT VERIFIED

Sample Information

Sample Taken Date03/20/2026 Sample Unique Key44
Date that the sample was received by the laboratory/organization performing the testing04/01/2026 Sample typeVerification
A brief description of the sampleJMF 3/4" HMA-A-SP RAP 20% LAS 0.5% The quantity of what the sample constitutes4 bags comb agg, 4 bags comb RAP
From where was the sample collectedManufacturer First name of sampler or witnessed byD
Last name of sampler or witnessed byPUIGS Title of sampler
Telephone number of sampler Laboratory sample identification0165A-26
Linked DIME Sample ID The fabricator/manufacturer/facility nameEvotherm - Valero - Cemex LC - Matich LCHP
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 numberB6Z3 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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Sample File Attachments

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Test File Attachments