Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2026-03-25-37
Sample Details QR Code
Scan this code to open this Sample Details view on another device.
Project Information
| Project Identifiers | Project ID: 66667 DEA: JMFPP EFIS: 0019000043 |
|---|---|
| DIST-CO-RTE-PM | 59--- |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | Special project for submitting Sample information for JMF Prequalification Program. |
| Location Description | Not set |
| QA Service Level | NOT VERIFIED |
Sample Information
| Sample Taken Date | 03/25/2026 | Sample Unique Key | 37 |
|---|---|---|---|
| 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 testing | 04/01/2026 |
| Sample type | Verification | A brief description of the sample | JMF 1/2" HMA-A-SP RAP 20% LAS 0.5% |
| The quantity of what the sample constitutes | 4 bags Lime Coldfeed, 2 bags EA (Coarse and Fine RAP) | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Derrick | Last name of sampler or witnessed by | Matich QC |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | 0166A-26 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Evotherm - Valero - Cemex LC - Matich LCHP | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Bid Item | Not set |
Material Information
| Material Type | Aggregate | 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 collected | Belt Cut at Matich Lytle Creek Plant | |
| Where the material sample would have been placed if not sampled | Asphalt Paving | Primary Aggregate Nominal Size | 1/2 inch |
| The concrete mix design number | C6Z3 | Lot number | |
| Sublot number | Aggregate Mix Number |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Date Added | Verified? | Release Date | Test Comments | Privacy Level | Actions |
|---|---|---|---|---|---|---|---|---|---|
| No results found. | |||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||