Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2026-06-15-51

Project Information

Project IdentifiersProject ID: 995085
DEA: 07322904
EFIS: 0716000059
DIST-CO-RTE-PM07-LA-27-0.0/18.6
Award Date11/06/2023
Closeout DateNot set
Work DescriptionREMOVE EXISTING AC PAVEMENT & HMA OVERLAY.
Location DescriptionLOS ANGELES COUNTY IN AND NEAR LOS ANGELES FROM ROUTE 1 TO DEVONSHIRE STREET
QA Service Level1 (Verified on 09/11/2023)

Sample Information

Sample Taken Date06/15/2026 Sample Unique Key51
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 testing06/19/2026
Sample typeVerification A brief description of the samplePSU/JMF 1/2" WMA-A-SP R25 0.5% EVO
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 byBaher Last name of sampler or witnessed byChristian
Title of sampler Telephone number of sampler
Laboratory sample identification0348A-26 Linked DIME Sample ID
The fabricator/manufacturer/facility nameVulcan Sun Valley 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
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 Size1/2 inch
The concrete mix design number320200W SVA VLO Lot number
Sublot number Aggregate Mix Number

Submitted Tests

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