Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2024-09-16-62

Project Information

Project IdentifiersProject ID: 993387
DEA: 07323404
EFIS: 0716000064
DIST-CO-RTE-PM07-LA-5-R59.5/R67.9
Award DateNot set
Closeout DateNot set
Work DescriptionPLACE CULVERT, REPLACE DRAINAGE SYSTEM, RECONST ROADWAY & EMBANKMENT.
Location DescriptionLOS ANGELES COUNTY AT VARIOUS LOCATIONS FROM LAKE HUGHES ROAD UNDERCROSSING TO 1.9 MILES NORTH OF TEMPLIN HIGHWAY UNDERCROSSING
QA Service Level1 (Verified on 12/06/2021)

Sample Information

Sample Taken Date09/16/2024 Sample Unique Key62
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 testing09/18/2024
Sample typeVerification A brief description of the sampleJMF 3/4'' WMA A SP R25 .50% EVO
The quantity of what the sample constitutes4 Bags Of Comb Agg., 2 Bags Of FINE Rap From where was the sample collectedManufacturer
First name of sampler or witnessed byJOHN Last name of sampler or witnessed byMejiah
Title of sampler Telephone number of sampler
Laboratory sample identification0482A-24 Linked DIME Sample ID
The fabricator/manufacturer/facility nameINGEVITY, SJR, FISH CANYON IRWINDALE, VULCAN SUN VALLEY Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)91-19-0035
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 Vulcan Sun Valley Plant
Where the material sample would have been placed if not sampledAsphalt Paving Primary Aggregate Nominal Size3/4 inch
The concrete mix design number220200W SVA SJR Lot number
Sublot number Aggregate Mix Number

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
No results found.

Sample File Attachments

File NameExtensionDate UploadedActions
No results found.

Test File Attachments