Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2026-05-07-29

Project Information

Project IdentifiersProject ID: 1000501
DEA: 081J6104
EFIS: 0818000102
DIST-CO-RTE-PM08-RIV-215-40.5/42.7
Award Date11/05/2024
Closeout DateNot set
Work DescriptionINDIVIDUAL SLAB REPLACEMENT (RSC), RHMA, AND REPLACE BASE.
Location DescriptionRIVERSIDE COUNTY IN RIVERSIDE FROM 0.8 MILE SOUTH OF ROUTE 60/91 SEPARATION TO 0.4 MILE SOUTH OF MARTIN LUTHER KING BOULEVARD UNDERCROSSING
QA Service Level1 (Verified on 09/02/2024)

Sample Information

Sample Taken Date05/07/2026 Sample Unique Key29
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 testing05/11/2026
Sample typeVerification A brief description of the samplePSUE 3/4" RHMA-G-SP 0.25% EVO
The quantity of what the sample constitutes4 bags comb agg, 1 bag EA RAP (Coarse and Fine) From where was the sample collectedManufacturer
First name of sampler or witnessed byJacob Last name of sampler or witnessed byTEC
Title of sampler Telephone number of sampler
Laboratory sample identification0221G-26 Linked DIME Sample ID
The fabricator/manufacturer/facility nameSan Juaquin Refinery, CRM, Ingevity, Martin Marietta, Mayhew 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 RJ Noble Corona Plant
Where the material sample would have been placed if not sampledAsphalt Paving Primary Aggregate Nominal Size3/4 inch
The concrete mix design number49003ARSPWEC Lot number
Sublot number Aggregate Mix Number

Submitted Tests

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