Sample Record

DIME Sample ID 2023-10-27-23

Project Information

Project IdentifiersProject ID: 994821
DEA: 080J2404
EFIS: 0822000124
DIST-CO-RTE-PM08-SBD-142-3.5/R3.9
Award Date06/28/2023
Closeout Date02/23/2024
Work DescriptionHMA (TYPE A), RUBBERIZED HMA (GAP GRADED), CL 2 AB, RDWY EXCAVATION.
Location DescriptionSAN BERNARDINO COUNTY IN CHINO HILLS FROM 0.5 MILE NORTH OF FELDSPAR DRIVE TO CHINO HILLS PARKWAY
QA Service Level1 (Verified on 08/02/2023)

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

Sample Information

Sample Taken Date10/27/2023 Sample Unique Key23
Date that the sample was received by the laboratory/organization performing the testing10/30/2023 Sample typeVerification
A brief description of the samplePSUE 3/4" HMA-A-SP R15 No LAS The quantity of what the sample constitutes2 Bags Of Agg., 1 Bag Rap
From where was the sample collectedManufacturer First name of sampler or witnessed byMaryanna
Last name of sampler or witnessed byLandaverde Title of sampler
Telephone number of sampler Laboratory sample identification0553A-23
Linked DIME Sample ID The fabricator/manufacturer/facility nameAll American Asphalt- Corona
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)31-33-0005
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 collectedBelt Cut at All American Corona Plant
Where the material sample would have been placed if not sampledAsphalt Paving Primary Aggregate Nominal Size3/4 inch
The concrete mix design number105793 Lot number
Sublot number Aggregate Mix Number

Submitted Tests

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