Sample Record for 2020-06-11-17
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 214314 DEA: 081F6904 EFIS: 0815000016
QA Service Level: 1
DIST-CO-RTE-PM: 08-RIV-79-0.0/15.6
Work Description: COLD PLANE AC PAVEMENT AND PLACE RHMA-G.
Location Description: RIVERSIDE COUNTY NEAR TEMECULA FROM SAN DIEGO COUNTY LINE TO 0.4 MILE EAST OF BUTTERFIELD STAGE ROAD
Contractor Name: All American Asphalt
Contractor Address: P.O. Box 2229, Corona CA, 92878
Resident Engineer: Osama Abdalla Structure Rep.: Unknown
Sample Information
DIME Sample ID: 2020-06-11-17
TL Number from the TL Form:
Sample Submitted By Organization: CT D08 - Fontana Field Testing Laboratory
Sample Organization Contact: 9512323690
Type of Sample: Acceptance
Type of Material: Aggregate
Sample Taken Date: 06/11/2020
Date that the sample was received by the laboratory/organization performing the testing: 06/11/2020
The quantity of what the sample constitutes: 1 bag combined aggregate
A brief description of the sample: AC Drum Aggregate
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: AAA-Corona
Material Information
Source Identification (SMARA, name of Pit or Job Site): 91-33-0005::ALL AMERICAN ASPHALT
The fabricator's/manufacturer's product name for the sample: Unknown
The fabricator/manufacturer designation for the sample: Unknown
The plant number: Unknown
A detailed description of where the material sample was collected: belt an chute
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
