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Sample Record for 2019-05-17-8

Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.

Project Information

Project ID: 212911 DEA: 081F9404 EFIS: 0815000067 QA Service Level: 1
DIST-CO-RTE-PM: 08-RIV-79-R4.7/R10.6
Work Description: COLD PLANE, OVERLAY WITH RUBBERIZED HOT MIX ASPHALT (TYPE G)
Location Description: RIVERSIDE COUNTY FROM 0.1 MILE SOUTH OF MURRIETA HOT SPRINGS ROAD TO 0.1MILE NORTH OF ABELIA ROAD
Contractor Name: R J NOBLE COMPANY
Contractor Address: 15505 E Lincoln Ave, Orange, CA 92865
Resident Engineer: Mike Bergevin Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2019-05-17-8
TL Number from the TL Form:
Sample Submitted By Organization: CT D08 - Fontana Field Testing Laboratory
Sample Organization Contact: (951) 840-8328
Type of Sample: Acceptance
Type of Material: Aggregate
Sample Taken Date: 05/17/2019
Date that the sample was received by the laboratory/organization performing the testing: 05/18/2019
The quantity of what the sample constitutes: 1 bag
A brief description of the sample: 3/4 inch combined agg
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: R J Noble

Material Information

Source Identification (SMARA, name of Pit or Job Site): 91-33-0014::CHANDLER - COLDWATER
The fabricator's/manufacturer's product name for the sample: 3/4 RHMA-G
The fabricator/manufacturer designation for the sample: 49R003ARSP-C
The plant number: Unknown
A detailed description of where the material sample was collected: HMA Plant Cold Feed
Where the material sample would have been placed if not sampled: Unknown
Primary Aggregate Nominal Size: 3/4 inch
The concrete mix design number: Unknown
Lot number: Unknown
Sublot number: Unknown
Aggregate Mix Number:

Test Results