Sample Record

DIME Sample ID 2022-04-08-28

Project Information

Project IdentifiersProject ID: 214486
DEA: 080K1224
EFIS: 0815000244
DIST-CO-RTE-PM08-SBD-15-R28.6/37.5
Award Date09/24/2021
Closeout Date11/03/2025
Work DescriptionREHBILIATATE EXISTING MAINLINE AND RAMP PAVEMENT
Location DescriptionSAN BERNARDINO COUNTY IN HESPERIA AND VICTORVILLE FROM OAK HILL ROAD OVERCROSSING TO 0.1 MILE SOUTH OF BEAR VALLEY ROAD OVERCROSSING
QA Service Level1 (Verified on 06/23/2021)

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

Sample Information

Sample Taken Date04/08/2022 Sample Unique Key28
Date that the sample was received by the laboratory/organization performing the testing04/13/2022 Sample typeVerification
A brief description of the sampleJMF 1" HMA-A-SP R25 1% LSM The quantity of what the sample constitutes3 Bags C.F Agg. 8 Bags Of Virgin Agg., 2 Bags Rap
From where was the sample collectedManufacturer First name of sampler or witnessed byBlue Diamond
Last name of sampler or witnessed byQC Title of sampler
Telephone number of sampler Laboratory sample identification0228A-22
Linked DIME Sample ID The fabricator/manufacturer/facility nameBlue Diamond Materials-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)91-36-0046, 91-36-0106
The fabricator's/manufacturer's product name for the sample The fabricator/manufacturer designation for the sample
The plant number300222 WM R25 A detailed description of where the material sample was collectedBelt Cut at Blue Diamond Victorville Plant
Where the material sample would have been placed if not sampledAsphalt Paving Primary Aggregate Nominal Size1 inch
The concrete mix design number Lot number
Sublot number Aggregate Mix NumberNot set

Submitted Tests

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