Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2024-04-03-30
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 994599 DEA: 081N1604 |
|---|---|
| DIST-CO-RTE-PM | 08-SBD-40-R20.0/R28.1 |
| Award Date | 05/24/2023 |
| Closeout Date | Not set |
| Work Description | RHMA, HIGH DENSITY POLYURETHANE INJECTION, AND COLD PLANE AC PVMT. |
| Location Description | SAN BERNARDINO COUNTY NEAR BARSTOW FROM 0.3 MILE WEST OF NEWBERRY ROAD OVERCROSSING TO DESERT OASIS REST AREA |
| QA Service Level | 1 (Verified on 08/14/2023) |
Sample Information
| Sample Taken Date | 04/03/2024 | Sample Unique Key | 30 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | Yes | Date that the sample was received by the laboratory/organization performing the testing | 04/04/2024 |
| Sample type | Production Start-Up | A brief description of the sample | 3/4 RHMA-G |
| The quantity of what the sample constitutes | 3 Bags 3/4", 3 Bags 1/2", 3 Bags 3/8", 2 Bags Sand, 2 Bags Combined Agg | From where was the sample collected | Supplier |
| First name of sampler or witnessed by | Francisco | Last name of sampler or witnessed by | Ruvalcaba |
| Title of sampler | TET | Telephone number of sampler | |
| Laboratory sample identification | 0162G-24 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Blue Diamond Materials-Victorville | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Aggregate | 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 collected | Belt Cut at Blue Diamond Victorville Plant | |
| Where the material sample would have been placed if not sampled | Roadway | Primary Aggregate Nominal Size | 3/4 inch |
| The concrete mix design number | 300072-LSM | Lot number | |
| Sublot number | Aggregate Mix Number |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||