Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2023-08-15-21
Project Information
Project Identifiers | Project ID: 994599 DEA: 081N1604 EFIS: 0822000106 |
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DIST-CO-RTE-PM | 08-SBD-40-R20.0/R28.1 |
Award Date | 05/24/2023 |
Closeout Date | 08/30/2024 |
Work Description | RHMA, HIGH DENSITY POLYURETHANE INJECTION, AND COLD PLANE AC PVMT. |
Location Description | SAN BERNARDINO COUNTY NEAR BARSTOW FROM 0.3 MILE WEST OF NEWBERRY ROAD OVERCROSSING TO DESERT OASIS REST AREA |
QA Service Level | 1 (Verified on 08/14/2023) |
Sample Information
Sample Taken Date | 08/15/2023 | Sample Unique Key | 21 |
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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 | 08/16/2023 |
Sample type | Verification | A brief description of the sample | JMF 3/4" HMA-G SP, 1.0% LSM |
The quantity of what the sample constitutes | 11 Bags Of Bin Agg., 3 Bags Comb. Agg | From where was the sample collected | Manufacturer |
First name of sampler or witnessed by | Blue Diamond | Last name of sampler or witnessed by | QC |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | 0410G-23 | Linked DIME Sample ID | |
The fabricator/manufacturer/facility name | Blue Diamond-Victorville | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name |
Material Information
Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | 91-36-0046, 91-36-0022 |
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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 | Belt Cut at Blue Diamond Victorville Plant | |
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 | 300072-LSM | Lot number | |
Sublot number | Aggregate Mix Number |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2023-08-15-21-1 AASHTO T27-14 (Verified)
DIME Test ID: 2023-08-15-21-2 AASHTO T84-14 (Verified)
DIME Test ID: 2023-08-15-21-3 AASHTO T85-13 (Verified)
DIME Test ID: 2023-08-15-21-4 AASHTO T96-02r10 (Verified)
DIME Test ID: 2023-08-15-21-5 AASHTO T176-08 (Verified)
DIME Test ID: 2023-08-15-21-6 AASHTO T304-11 (Verified)
DIME Test ID: 2023-08-15-21-7 AASHTO T335-09r13 (Verified)
DIME Test ID: 2023-08-15-21-8 ASTM D4791-10 (Verified)