Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2023-05-08-50

Project Information

Project IdentifiersProject ID: 214573
DEA: 073096U4
EFIS: 0719000091
DIST-CO-RTE-PM07-LA-210-R0.0/R9.7
Award Date04/03/2020
Closeout Date06/06/2024
Work DescriptionPLACE CONCRETE PAVEMENT, BARRIER, HMA, DRAINAGE, AND ELECTRICAL.
Location DescriptionLOS ANGELES COUNTY IN LOS ANGELES FROM INTERSTATE 5 TO WHEATLAND AVENUE UNDERCROSSING
QA Service Level1 (Verified on 06/05/2020)

Sample Information

Sample Taken Date05/08/2023 Sample Unique Key50
Date that the sample was received by the laboratory/organization performing the testing05/15/2023 Sample typeVerification
A brief description of the samplePSUE 3/4" HMA-A-SP R15 0.50% LAS The quantity of what the sample constitutes2 bags of each Bin (1,2,3,4,5), 2 bags of RAP
From where was the sample collectedManufacturer First name of sampler or witnessed byEsteban
Last name of sampler or witnessed bySalgado Title of sampler
Telephone number of sampler Laboratory sample identification0253A-23
Linked DIME Sample ID The fabricator/manufacturer/facility nameVulcan Materials - Sun Valley
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)91-19-0035
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 collectedManufacturer
Where the material sample would have been placed if not sampledAsphalt Paving Primary Aggregate Nominal Size3/4 inch
The concrete mix design number220831 SVA LTR Lot number
Sublot number Aggregate Mix Number

Submitted Tests

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