Sample Record

DIME Sample ID 2023-04-26-87

Project Information

Project IdentifiersProject ID: 215456
DEA: 07293604
EFIS: 0713000238
DIST-CO-RTE-PM07-LA-405-14.3/15.8
Award Date05/26/2021
Closeout Date07/03/2025
Work DescriptionCONSTRUCT AUXILIARY LANE AND WIDEN ON AND OFF RAMPS.
Location DescriptionLOS ANGELES COUNTY IN TORRANCE BETWEEN WESTERN AVENUE UNDERCROSSING AND WEST 182ND STREET
QA Service Level1 (Verified on 07/07/2021)

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

Sample Information

Sample Taken Date04/26/2023 Sample Unique Key87
Date that the sample was received by the laboratory/organization performing the testing05/05/2023 Sample typeVerification
A brief description of the samplePSUE 1/2" HMA-A-SP 15% RAP No LAS The quantity of what the sample constitutes4 bags of aggregate, 1 bag of RAP
From where was the sample collectedManufacturer First name of sampler or witnessed byVictor
Last name of sampler or witnessed byPham Title of sampler
Telephone number of sampler Laboratory sample identification0237A-23
Linked DIME Sample ID The fabricator/manufacturer/facility nameAll American - Corona/ SJR
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 collectedManufacturer
Where the material sample would have been placed if not sampledAsphalt Paving Primary Aggregate Nominal Size1/2 inch
The concrete mix design number104775 Lot number
Sublot number Aggregate Mix Number

Submitted Tests

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