Sample Record

DIME Sample ID 2023-12-06-7

Project Information

Project IdentifiersProject ID: 214549
DEA: 081H2904
EFIS: 0817000006
DIST-CO-RTE-PM08-SBD-173-18.7
Award Date08/20/2020
Closeout Date10/02/2024
Work DescriptionSTRUCTURAL CONCRETE SOIL NAIL WALL AND SOLDIER PILE WALL.
Location DescriptionSAN BERNARDINO COUNTY NEAR CEDAR GLEN AT 0.1 MILE SOUTH OF HOSPITAL ROAD
QA Service Level1 (Verified on 01/13/2020)

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

Sample Information

Sample Taken Date12/06/2023 Sample Unique Key7
Date that the sample was received by the laboratory/organization performing the testing12/07/2023 Sample typeVerification
A brief description of the samplePSUE 3/4" HMA-A R15 0.5% LAS The quantity of what the sample constitutes2 bags of Agg., 1 bag of RAP
From where was the sample collectedManufacturer First name of sampler or witnessed byNathan
Last name of sampler or witnessed byOgbasellasie Title of sampler
Telephone number of sampler Laboratory sample identification0608A-23
Linked DIME Sample ID The fabricator/manufacturer/facility nameCemex Lytle Creek/ Valero/ Pre Tech INC
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)91-36-0040
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 Matich Plant Rialto
Where the material sample would have been placed if not sampledAsphalt Paving Primary Aggregate Nominal Size3/4 inch
The concrete mix design numberLHP-63D Lot number
Sublot number Aggregate Mix Number

Submitted Tests

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