Sample Record

DIME Sample ID 2024-07-15-39

Project Information

Project IdentifiersProject ID: 995291
DEA: 081N2504
EFIS: 0822000125
DIST-CO-RTE-PM08-RIV-15,60,91,215-Var
Award Date05/08/2024
Closeout Date06/09/2025
Work DescriptionPOLYESTER CONC OVERLAY, CLEAN EXP JT, DECK SEAL & HMA (BRIDGE).
Location DescriptionRIVERSIDE COUNTY AT VARIOUS LOCATIONS
QA Service Level1 (Verified on 10/31/2023)

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

Sample Information

Sample Taken Date07/15/2024 Sample Unique Key39
Date that the sample was received by the laboratory/organization performing the testing07/19/2024 Sample typeVerification
A brief description of the sampleJMF 3/4" HMA-A-SP R15 No LAS The quantity of what the sample constitutes4 Bags of Comb. Agg, 2 Bags Rap
From where was the sample collectedManufacturer First name of sampler or witnessed byVictor
Last name of sampler or witnessed byCapcete Title of sampler
Telephone number of sampler Laboratory sample identification0336A-24
Linked DIME Sample ID The fabricator/manufacturer/facility nameAll American Asphalt Corona
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)91-33-0005
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 collectedBelt Cut at All American Asphalt Corona Plant
Where the material sample would have been placed if not sampledAsphalt Paving Primary Aggregate Nominal Size3/4 inch
The concrete mix design number105793 Lot number
Sublot number Aggregate Mix Number

Submitted Tests

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