Sample Record

Owner Labs

  • CT D05 - Whitley Gardens Field Laboratory
  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2026-03-30-59

Project Information

Project IdentifiersProject ID: 994443
DEA: 053307C4
EFIS: 0514000028
DIST-CO-RTE-PM05-SLO-41,46-44.5/45.3,54.0/57.8
Award Date02/27/2023
Closeout DateNot set
Work DescriptionWye Segment - Route 41/46 Separation
Location DescriptionNot set
QA Service Level1 (Verified on 12/16/2022)

Sample Information

Sample Taken Date03/30/2026 Sample Unique Key59
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 testing03/30/2026
Sample typeDispute Resolution A brief description of the sample14609 3/4" Aggregate
The quantity of what the sample constitutes750 tons From where was the sample collectedManufacturer
First name of sampler or witnessed byTimothy Last name of sampler or witnessed byRuiz
Title of samplerGranite QC Technician Telephone number of sampler
Laboratory sample identification260330 L8SL1- Dispute Linked DIME Sample ID
The fabricator/manufacturer/facility nameGranite Arvin Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name Bid Item74 - HOT MIX ASPHALT (TYPE A)

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)91-15-0114
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 collectedConveyor Belt
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size3/4 inch
The concrete mix design number Lot number8
Sublot number1 Aggregate Mix Number

Submitted Tests

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