Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2026-04-20-25

Project Information

Project IdentifiersProject ID: 1001098
DEA: 081P0804
EFIS: 0823000089
DIST-CO-RTE-PM08-RIV-10-7.0/44.5
Award Date06/03/2025
Closeout DateNot set
Work DescriptionFURNISH & PLACE POLYESTER CONCRETE OVERLAY, JOINT SEAL, HMA (BRIDGE).
Location DescriptionRIVERSIDE COUNTY AT VARIOUS LOCATIONS FROM VEILE AVENUE UNDERCROSSING IN BEAUMONT TO MONTEREY AVENUE OVERCROSSING AT THOUSAND PALMS
QA Service Level1 (Verified on 04/07/2025)

Sample Information

Sample Taken Date04/20/2026 Sample Unique Key25
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 sampleJMF 1/2" HMA-A-SP R25 0.3% EVO
The quantity of what the sample constitutes9 bags Virgin Bin Agg, 3 bags comb Agg From where was the sample collectedManufacturer
First name of sampler or witnessed byMM Last name of sampler or witnessed byQC
Title of sampler Telephone number of sampler
Laboratory sample identification0201A-26 Linked DIME Sample ID
The fabricator/manufacturer/facility nameIngevity/ Valero/ Coachella Valley/ MM-Coachella 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)91-33-0084
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 martin marietta, coachella
Where the material sample would have been placed if not sampledAsphalt Paving Primary Aggregate Nominal Size1/2 inch
The concrete mix design number41217195WM Lot number
Sublot number Aggregate Mix Number

Submitted Tests

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