Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2023-04-26-90
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 993446 DEA: 120J34U4 EFIS: 1218000034 |
|---|---|
| DIST-CO-RTE-PM | 12-ORA-55,55-29.6,R6.4/10.3 |
| Award Date | 05/27/2022 |
| Closeout Date | Not set |
| Work Description | CONSTR BRIDGES, RW, SW, JPCP, HMA PVMT, DRAINAGE AND ELECT SYSTEMS. |
| Location Description | ORANGE COUNTY IN IRVINE, SANTA ANA, AND TUSTIN ON ROUTE 5 AT NEWPORT AVENUE UNDERCROSSING AND ON ROUTE 55 FROM 0.4 MILE NORTH OF ROUTE 55/405 SEPARATION TO 0.1 MILE SOUTH OF ROUTE 5/55 SEPARATION |
| QA Service Level | 1 (Verified on 06/24/2022) |
Sample Information
| Sample Taken Date | 04/26/2023 | Sample Unique Key | 90 |
|---|---|---|---|
| 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 testing | 05/10/2023 |
| Sample type | Verification | A brief description of the sample | JMF 3/4" HMA-A-SP R15 0.50% LAS |
| The quantity of what the sample constitutes | 4 bags of each Bin (1,2,3,4), 4 bags of RAP, 2 Qts. of Mineral Filler | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Vulcan | Last name of sampler or witnessed by | QC |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | 0247A-23 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Vulcan materials - Santa Ana | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Bid Item | Not set |
Material Information
| Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | 91-33-0027, 91-19-0035 |
|---|---|---|---|
| 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 collected | Manufacturer | |
| Where the material sample would have been placed if not sampled | Asphalt Paving | Primary Aggregate Nominal Size | 3/4 inch |
| The concrete mix design number | 220817 SNA SJR | Lot number | |
| Sublot number | Aggregate Mix Number |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Date Added | Verified? | Release Date | Test Comments | Privacy Level | Actions |
|---|---|---|---|---|---|---|---|---|---|
| No results found. | |||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||