Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2026-06-12-34

Project Information

Project IdentifiersProject ID: 1002156
DEA: 081P8304
EFIS: 0824000136
DIST-CO-RTE-PM08-RIV-15-33.2/33.2
Award Date06/12/2026
Closeout DateNot set
Work DescriptionREHABILITATE 30" CSP CULVERTS
Location DescriptionIN RIVERSIDE COUNTY AT TEMESCAL VALLEY AT TEMESCAL CANYON ROAD UNDERCROSSING
QA Service Level1 (Verified on 04/27/2026)

Sample Information

Sample Taken Date06/12/2026 Sample Unique Key34
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 testing06/18/2026
Sample typeVerification A brief description of the sample3/4" WMA A SP RAP 22% LAS 0.25%
The quantity of what the sample constitutes4 Bags of Cold feed Agg. 2 Bags of Combined Rap From where was the sample collectedManufacturer
First name of sampler or witnessed byChris Last name of sampler or witnessed byLucero
Title of sampler Telephone number of sampler
Laboratory sample identification0334A-26 Linked DIME Sample ID2026-06-12-34
The fabricator/manufacturer/facility nameVulcan Corona 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)91-19-0035, 91-33-0027
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 Plant
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size3/4 inch
The concrete mix design number220996 COORD SJR Lot number
Sublot number Aggregate Mix Number

Submitted Tests

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