Sample Record

DIME Sample ID 2021-05-18-24

Project Information

Project IdentifiersProject ID: 214336
DEA: 07302404
EFIS: 0713000488
DIST-CO-RTE-PM07-VEN-101-37/40
Award Date11/17/2020
Closeout Date09/24/2024
Work DescriptionPADRE JUAN REHAB
Location DescriptionVEN 101
QA Service Level1 (Verified on 02/26/2021)

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

Sample Information

Sample Taken Date05/18/2021 Sample Unique Key24
Date that the sample was received by the laboratory/organization performing the testing05/21/2021 Sample typeVerification
A brief description of the sampleJMF 3/4" RHMA_G 0.5% LAS The quantity of what the sample constitutes4 Bags Of Combined Agg.,
From where was the sample collectedManufacturer First name of sampler or witnessed byHonesto
Last name of sampler or witnessed byCastillo Title of sampler
Telephone number of sampler Laboratory sample identification0297G-21
Linked DIME Sample ID The fabricator/manufacturer/facility nameGranite Construction Co Santa Paula
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)91-19-0046::BIG ROCK CREEK- GRANITE
The fabricator's/manufacturer's product name for the sample The fabricator/manufacturer designation for the sample
The plant number1556 A detailed description of where the material sample was collectedBelt Cut at Granite Santa Paula Plant
Where the material sample would have been placed if not sampledAsphalt Paving Primary Aggregate Nominal Size3/4 inch
The concrete mix design number Lot number
Sublot number Aggregate Mix NumberNot set

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
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