Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2024-04-16-44
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 995232 DEA: 120U1704 EFIS: 1223000051 |
|---|---|
| DIST-CO-RTE-PM | 12-ORA-133,261-9.8/12.6,0.0/3.5 |
| Award Date | 12/27/2023 |
| Closeout Date | 09/20/2024 |
| Work Description | COLD PLANE, OVERLAY, AND REFRESH PAVEMENT DELINEATION. |
| Location Description | ORANGE COUNTY IN IRVINE ON ROUTE 133 FROM TECHNOLOGY DRIVE UNDERCROSSING TO PORTOLA PARKWAY UNDERCROSSING AND ON ROUTE 261 FROM WALNUT AVENUE OVERCROSSING TO 0.6 MILE NORTH OF PORTOLA PARKWAY OVERCROSSING |
| QA Service Level | 1 (Verified on 10/16/2023) |
Sample Information
| Sample Taken Date | 04/16/2024 | Sample Unique Key | 44 |
|---|---|---|---|
| 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 | 04/23/2024 |
| Sample type | Verification | A brief description of the sample | PSUE 1/2" RHMA-G-SP 1.0% LAS |
| The quantity of what the sample constitutes | 4 Bags Of Combined Aggregate | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Cuong | Last name of sampler or witnessed by | Pham |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | 0185G-24 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | AAA-Corona/SJR/Ingevity/Morelife 500 | 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) | 91-33-0005 |
|---|---|---|---|
| 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 | AAA-Corona | |
| Where the material sample would have been placed if not sampled | Asphalt Paving | Primary Aggregate Nominal Size | 1/2 inch |
| The concrete mix design number | 106836 | 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. | |||