Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2026-08-11-70

Project Information

Project IdentifiersProject ID: 1002359
DEA: 070Y1204
EFIS: 0724000133
DIST-CO-RTE-PM07-LA-405-VAR
Award DateNot set
Closeout DateNot set
Work DescriptionRTE 405 PAVEMENT REHAB - INDIVIDUAL SLAB REPLACEMENT (RSC), LEAN CONCRETE BASE RAPID SETTING, BASE BOND BREAKER, RHMA-G, SLURRY SEAL, COLD PLANE, DRILL & BOND DOWELS, PAVEMENT DELINEATION, MODIFYING RAMP METERING & SIGNAL/LIGHTING SYSTEMS (166TH ST UC TO MANCHESTER BLVD OC)
Location DescriptionNot set
QA Service Level1 (Verified on 07/08/2026)

Sample Information

Sample Taken Date08/11/2026 Sample Unique Key70
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 testing08/18/2026
Sample typeVerification A brief description of the sample3/4" RWMA-G SP 0.50% LAS
The quantity of what the sample constitutes5 Bags Comb. Agg. 1 Bag Crum Rubber, 1 Bag Hi-Nat From where was the sample collectedManufacturer
First name of sampler or witnessed byAlex Last name of sampler or witnessed byBaher
Title of sampler Telephone number of sampler
Laboratory sample identification0527G-26 Linked DIME Sample ID
The fabricator/manufacturer/facility nameAll American Asphalt-Irwindale 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)91-33-0005
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 number Lot number
Sublot number Aggregate Mix Number

Submitted Tests

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