Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2024-09-16-62
Project Information
Project Identifiers | Project ID: 993387 DEA: 07323404 EFIS: 0716000064 |
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DIST-CO-RTE-PM | 07-LA-5-R59.5/R67.9 |
Award Date | Not set |
Closeout Date | Not set |
Work Description | PLACE CULVERT, REPLACE DRAINAGE SYSTEM, RECONST ROADWAY & EMBANKMENT. |
Location Description | LOS ANGELES COUNTY AT VARIOUS LOCATIONS FROM LAKE HUGHES ROAD UNDERCROSSING TO 1.9 MILES NORTH OF TEMPLIN HIGHWAY UNDERCROSSING |
QA Service Level | 1 (Verified on 12/06/2021) |
Sample Information
Sample Taken Date | 09/16/2024 | Sample Unique Key | 62 |
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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 testing | 09/18/2024 |
Sample type | Verification | A brief description of the sample | JMF 3/4'' WMA A SP R25 .50% EVO |
The quantity of what the sample constitutes | 4 Bags Of Comb Agg., 2 Bags Of FINE Rap | From where was the sample collected | Manufacturer |
First name of sampler or witnessed by | JOHN | Last name of sampler or witnessed by | Mejiah |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | 0482A-24 | Linked DIME Sample ID | |
The fabricator/manufacturer/facility name | INGEVITY, 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 Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | 91-19-0035 |
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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 collected | Belt Cut at Vulcan Sun Valley Plant | |
Where the material sample would have been placed if not sampled | Asphalt Paving | Primary Aggregate Nominal Size | 3/4 inch |
The concrete mix design number | 220200W SVA SJR | Lot number | |
Sublot number | Aggregate Mix Number |
Submitted Tests
DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
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No results found. |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |