Sample Record

DIME Sample ID 2024-04-03-30

Project Information

Project IdentifiersProject ID: 994599
DEA: 081N1604
EFIS: 0822000106
DIST-CO-RTE-PM08-SBD-40-R20.0/R28.1
Award Date05/24/2023
Closeout Date08/30/2024
Work DescriptionRHMA, HIGH DENSITY POLYURETHANE INJECTION, AND COLD PLANE AC PVMT.
Location DescriptionSAN BERNARDINO COUNTY NEAR BARSTOW FROM 0.3 MILE WEST OF NEWBERRY ROAD OVERCROSSING TO DESERT OASIS REST AREA
QA Service Level1 (Verified on 08/14/2023)

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

Sample Information

Sample Taken Date04/03/2024 Sample Unique Key30
Date that the sample was received by the laboratory/organization performing the testing04/04/2024 Sample typeProduction Start-Up
A brief description of the sample3/4 RHMA-G The quantity of what the sample constitutes3 Bags 3/4", 3 Bags 1/2", 3 Bags 3/8", 2 Bags Sand, 2 Bags Combined Agg
From where was the sample collectedSupplier First name of sampler or witnessed byFrancisco
Last name of sampler or witnessed byRuvalcaba Title of samplerTET
Telephone number of sampler Laboratory sample identification0162G-24
Linked DIME Sample ID The fabricator/manufacturer/facility nameBlue Diamond Materials-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)91-36-0046, 91-36-0022
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 sampledRoadway Primary Aggregate Nominal Size3/4 inch
The concrete mix design number300072-LSM Lot number
Sublot number Aggregate Mix Number

Submitted Tests

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