Sample Record

DIME Sample ID 2026-10-06-36

Project Information

Project IdentifiersProject ID: 994583
DEA: 07333604
EFIS: 0716000313
DIST-CO-RTE-PM07-LA-2-2.3/14.2
Award Date11/26/2024
Closeout DateNot set
Work DescriptionCOLD PLANE AC, PLACE HMA, REPLACE CURB RAMPS AND TRAFFIC SIGNALS.
Location DescriptionLOS ANGELES COUNTY IN LOS ANGELES AT VARIOUS LOCATIONS FROM CENTINELA AVENUE TO GLENDALE BOULEVARD UNDERCROSSING
QA Service Level1 (Verified on 07/24/2023)

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

Sample Information

Sample Taken Date10/06/2026 Sample Unique Key36
Date that the sample was received by the laboratory/organization performing the testing10/13/2026 Sample typeJMF Verification
A brief description of the sample3/4" RWMA G EVO .6% The quantity of what the sample constitutes6 Bags of Cold feed, 1 Bag of Crum Rubber, 1 Bag of Hi-Nat
From where was the sample collectedManufacturer First name of sampler or witnessed byQC - Sully Miller
Last name of sampler or witnessed byQC - Sully Miller Title of samplerQC
Telephone number of sampler Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameBlue Diamond - Victorville
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)91-19-0052
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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