Sample Record

DIME Sample ID 2024-03-15-19

Project Information

Project IdentifiersProject ID: 994582
DEA: 073203U4
EFIS: 0722000071
DIST-CO-RTE-PM07-LA-91,605-R16.6/R16.8,R0.0/R10.4
Award Date06/20/2023
Closeout DateNot set
Work DescriptionPLACE CONCRETE PAVEMENT AND HIGH FRICTION SURFACE TREATMENT.
Location DescriptionLOS ANGELES COUNTY ON ROUTE 605 FROM 0.2 MILE NORTH OF KATELLA AVENUE UNDECROSSING TO 0.1 MILE NORTH OF TELEGRAPH ROAD UNDERCROSSING AND ON ROUTE 91 FROM 0.4 MILE WEST OF ROUTE 605 UNDERCROSSING TO 0.2 MILE WEST OF ROUTE 605 UNDERCROSSING
QA Service Level1 (Verified on 07/12/2023)

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

Sample Information

Sample Taken Date03/15/2024 Sample Unique Key19
Date that the sample was received by the laboratory/organization performing the testing03/18/2024 Sample typeVerification
A brief description of the sampleJMF 3/4" HMA-A-SP R25 0.75% LAS PG70-10 The quantity of what the sample constitutes6 Bags of Agg., 2 Bags of Rap
From where was the sample collectedManufacturer First name of sampler or witnessed byGerardo
Last name of sampler or witnessed byZubieta Title of sampler
Telephone number of sampler Laboratory sample identification0140A-24
Linked DIME Sample ID The fabricator/manufacturer/facility nameVulcan Materials-Irwindale
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 collectedBelt Cut at Vulcan Materials-Irwindale
Where the material sample would have been placed if not sampledAsphalt Paving Primary Aggregate Nominal Size3/4 inch
The concrete mix design number220992M IRW VLO Lot number
Sublot number Aggregate Mix Number

Submitted Tests

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