Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2026-04-07-26
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 1001468 DEA: 081L2404 EFIS: 0819000167 |
|---|---|
| DIST-CO-RTE-PM | 08-SBD-95-R57.2/64.5 |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | RHMA (GAP GRADED), REPLACE AC SURFACING, AND COLD PLANE AC PVMT. |
| Location Description | SAN BERNARDINO COUNTY NEAR NEEDLES FROM ROUTE 40/95 SEPARATION TO 0.5 MILE NORTH OF GOFFS ROAD |
| QA Service Level | 1 (Verified on 08/29/2025) |
Sample Information
| Sample Taken Date | 04/07/2026 | Sample Unique Key | 26 |
|---|---|---|---|
| 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 | 04/09/2026 |
| Sample type | Verification | A brief description of the sample | PSUE 3/4" RHMA-G-SP 0.3% EVO |
| The quantity of what the sample constitutes | 4 bags agg | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Francisco | Last name of sampler or witnessed by | Ruvalcaba |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | 0182G-26 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | World Oil Ref, Ingevity, CRM Co, Tricor Ref, Agcon, Calport | 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) | 91-36-0046, 91-36-0022 |
|---|---|---|---|
| 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 Blue Diamond Victorville Plant | |
| Where the material sample would have been placed if not sampled | Asphalt Paving | Primary Aggregate Nominal Size | 3/4 inch |
| The concrete mix design number | 300072 | 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. | |||