Sample Record

DIME Sample ID 2023-05-11-32

Project Information

Project IdentifiersProject ID: 993815
DEA: 081C0814
EFIS: 0816000086
DIST-CO-RTE-PM08-RIV-10-R60.7/R74.3
Award Date03/28/2022
Closeout Date01/21/2026
Work DescriptionI-10 PAVEMENT REHABILITATION (SEGMENT 1) PROJECT
Location DescriptionCoachella
QA Service Level1 (Verified on 05/03/2022)

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

Sample Information

Sample Taken Date05/11/2023 Sample Unique Key32
Date that the sample was received by the laboratory/organization performing the testing05/15/2023 Sample typeVerification
A brief description of the sampleJMF 3/4" HMA-A-SP R24 0.5% LAS The quantity of what the sample constitutes3 Bags of Aggs each 3/4" and 1/2", 2 bags of 3/8" Aggs., 3 bags of Sand, 2 bags of RAP
From where was the sample collectedManufacturer First name of sampler or witnessed byMartin
Last name of sampler or witnessed byMarietta QC Title of sampler
Telephone number of sampler Laboratory sample identification0255A-23
Linked DIME Sample ID The fabricator/manufacturer/facility nameMartin Marrietta - Coachella
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)91-33-0084
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 number43417155 Lot number
Sublot number Aggregate Mix Number

Submitted Tests

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