Sample Record

DIME Sample ID 2024-03-29-28

Project Information

Project IdentifiersProject ID: 995059
DEA: 081G6404
EFIS: 0816000046
DIST-CO-RTE-PM08-SBD-395-R4.0/49.0
Award Date10/25/2023
Closeout DateNot set
Work DescriptionREPLACE ASPHALT CONCRETE SURFACING, COLD PLANE AC PVMT AND RHMA.
Location DescriptionSAN BERNARDINO COUNTY AT VARIOUS LOCATIONS FROM ROUTE 15/395 SEPARATION TO 3.1 MILES NORTH OF ROUTE 58/395 SEPARATION
QA Service Level1 (Verified on 08/15/2023)

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

Sample Information

Sample Taken Date03/29/2024 Sample Unique Key28
Date that the sample was received by the laboratory/organization performing the testing04/03/2024 Sample typeVerification
A brief description of the sampleJMF 3/4" HMA-A-SP R15 1.0% LSM The quantity of what the sample constitutes11 Bags of untreated Agg, 3 Bags Coldfeed Agg, 2 Bags Rap
From where was the sample collectedManufacturer First name of sampler or witnessed byJevid
Last name of sampler or witnessed byVasquez Title of sampler
Telephone number of sampler Laboratory sample identification0155A-24
Linked DIME Sample ID The fabricator/manufacturer/facility nameBlue Diamond-Victorville
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)91-36-0022, 91-36-0046
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 Blue Diamond Victorville Plant
Where the material sample would have been placed if not sampledAsphalt Paving Primary Aggregate Nominal Size3/4 inch
The concrete mix design number300154-LSM-PG64-10 Lot number
Sublot number Aggregate Mix Number

Submitted Tests

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