Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2024-10-30-50

Project Information

Project IdentifiersProject ID: 1000216
DEA: 081G6304
EFIS: 0816000043
DIST-CO-RTE-PM08-RIV-111-47.2/55.3
Award Date09/05/2024
Closeout DateNot set
Work DescriptionRHMA-G, REPLACE AC SURFACING, AND COLD PLANE AC PVMT.
Location DescriptionRIVERSIDE COUNTY IN PALM SPRINGS FROM GOLF CLUB DRIVE TO WEST GATEWAY DRIVE
QA Service Level1 (Verified on 05/15/2024)

Sample Information

Sample Taken Date10/30/2024 Sample Unique Key50
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 testing11/21/2024
Sample typeVerification A brief description of the sample3/4" RHMA-G-SP 0.50% LAS
The quantity of what the sample constitutes4 BAGS COMB AGGS(3/4,1/2,3/8, CRUSHER FINES,5 ROCK), 1 BAG OF HI-NAT,1 BAG OF CRUMBRUBBER From where was the sample collectedManufacturer
First name of sampler or witnessed byLuke Last name of sampler or witnessed byHall
Title of sampler Telephone number of sampler
Laboratory sample identification0640G-24 Linked DIME Sample ID
The fabricator/manufacturer/facility nameGranite Construction Company 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)91-33-0072
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 collectedINGEVITY,CRM,SJR,GRANITE,VLO,WEST COAST AGG
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size3/4 inch
The concrete mix design numberJMF 1556 Lot number
Sublot number Aggregate Mix Number

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Test File Attachments