Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2024-08-09-40

Project Information

Project IdentifiersProject ID: 994327
DEA: 081G4704
EFIS: 0816000001
DIST-CO-RTE-PM08-RIV-74-3.1/53.5
Award Date01/02/2023
Closeout DateNot set
Work DescriptionSTRUCTURAL CONC BR, CONC SLAB, HMA (TYPE A), ALT CRASH CUSHION SYSTEM.
Location DescriptionRIVERSIDE COUNTY NEAR LAKE ELSINORE AT MORRILL CANYON BRIDGE AND NEAR HEMET AT STRAWBERRY CREEK BRIDGE.
QA Service Level1 (Verified on 06/08/2023)

Sample Information

Sample Taken Date08/09/2024 Sample Unique Key40
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 testing08/12/2024
Sample typeVerification A brief description of the samplePSUE 3/4" HMA-A-SP R15
The quantity of what the sample constitutes2 Bags of Comb. Agg, 1 Bag Rap From where was the sample collectedManufacturer
First name of sampler or witnessed byGabriel Last name of sampler or witnessed byRamirez
Title of sampler Telephone number of sampler
Laboratory sample identification0384A-24 Linked DIME Sample ID
The fabricator/manufacturer/facility nameAll American 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 Corona
Where the material sample would have been placed if not sampledAsphalt Paving Primary Aggregate Nominal Size3/4 inch
The concrete mix design number105927 Lot number
Sublot number Aggregate Mix Number

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
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