Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2026-04-08-39

Project Information

Project IdentifiersProject ID: 1001153
DEA: 081L3104
EFIS: 0820000020
DIST-CO-RTE-PM08-RIV-74-11.8/17.3
Award Date06/06/2025
Closeout DateNot set
Work DescriptionRHMA (GAP GRADED), REPLACE AC SURF, AND COLD PLANE AC PVMT.
Location DescriptionRIVERSIDE COUNTY IN LAKE ELSINORE FROM GRAND AVENUE TO ROUTE 15/74 SEPARATION
QA Service Level1 (Verified on 05/05/2025)

Sample Information

Sample Taken Date04/08/2026 Sample Unique Key39
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 testing04/13/2026
Sample typeVerification A brief description of the samplePSUE 1/2" RWMA-G-SP, 0.25% Evotherm
The quantity of what the sample constitutes4 bags aggs, 1 bag crumb rubber, 1 bag hi-nat From where was the sample collectedManufacturer
First name of sampler or witnessed byN/A Last name of sampler or witnessed by N/A
Title of sampler Telephone number of sampler
Laboratory sample identification0188G-26 Linked DIME Sample ID
The fabricator/manufacturer/facility nameIngevity, World Oil, Chandler's Agg, CRM Co 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)91-33-0014
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 RJ Noble Corona Plant
Where the material sample would have been placed if not sampledAsphalt Paving Primary Aggregate Nominal Size1/2 inch
The concrete mix design number50R003ARSPWEC Lot number
Sublot number Aggregate Mix Number

Submitted Tests

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