Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2026-03-25-41

Project Information

Project IdentifiersProject ID: 1000786
DEA: 081J4504
EFIS: 0818000043
DIST-CO-RTE-PM08-RIV-243-0.0/29.7
Award Date03/07/2025
Closeout DateNot set
Work DescriptionHMA, THERMOPLASTIC TRAFFIC STRIPE, AND COLD PLANE AC PAVEMENT.
Location DescriptionRIVERSIDE COUNTY FROM ROUTE 74 AT MOUNTAIN CENTER TO ROUTE 10 IN BANNING
QA Service Level1 (Verified on 01/13/2025)

Sample Information

Sample Taken Date03/25/2026 Sample Unique Key41
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 testing04/06/2026
Sample typeVerification A brief description of the sampleJMF 3/4" WMA-A R15 0.40% EVO
The quantity of what the sample constitutes4 bags comb agg, 2 bags comb RAP From where was the sample collectedManufacturer
First name of sampler or witnessed bySamuel Last name of sampler or witnessed bySaldana
Title of sampler Telephone number of sampler
Laboratory sample identification0172A-26 Linked DIME Sample ID
The fabricator/manufacturer/facility nameIngevity/ SJR/ Corona Quarry 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)91-33-0005
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 All American Asphalt Perris Plant
Where the material sample would have been placed if not sampledAsphalt Paving Primary Aggregate Nominal Size3/4 inch
The concrete mix design number103819 PERRIS Lot number
Sublot number Aggregate Mix Number

Submitted Tests

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