Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2026-04-20-22

Project Information

Project IdentifiersProject ID: 1000903
DEA: 081M0404
EFIS: 0821000091
DIST-CO-RTE-PM08-SBD-40-R140.0/R142.2
Award Date06/06/2025
Closeout DateNot set
Work DescriptionCOLD PLANE AC & RHMA, VEGETATION CONTROL (MINOR CONC), MGS, AND HTCB.
Location DescriptionSAN BERNARDINO COUNTY IN NEEDLES FROM FOX WASH OVERFLOW TO L STREET UNDERCROSSING
QA Service Level1 (Verified on 01/13/2025)

Sample Information

Sample Taken Date04/20/2026 Sample Unique Key22
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 testing04/22/2026
Sample typeVerification A brief description of the samplePSUE 1/2" WMA-O PG70-10 LSM
The quantity of what the sample constitutes16 bags Lime Treated Agg From where was the sample collectedManufacturer
First name of sampler or witnessed byFrancisco Last name of sampler or witnessed byRuvalcaba
Title of sampler Telephone number of sampler
Laboratory sample identification0200O-26 Linked DIME Sample ID
The fabricator/manufacturer/facility nameSJR, LHoist, Ingevity, West Coast Agg 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)91-33-0072
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 Granite Indio Plant
Where the material sample would have been placed if not sampledAsphalt Paving Primary Aggregate Nominal Size1/2 inch
The concrete mix design number14987 Lot number
Sublot number Aggregate Mix Number

Submitted Tests

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