Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2021-07-02-11

Project Information

Project IdentifiersProject ID: 214921
DEA: 09367404
EFIS: 0916000025
DIST-CO-RTE-PM09-KER-14-R4.7/R12.6
Award DateNot set
Closeout Date01/23/2023
Work DescriptionCONSTRUCT CRCP OVER EXISTING PAVEMENT AND PLACE HMA.
Location DescriptionKERN COUNTY AT AND NEAR ROSAMOND AND MOJAVE FROM 1.4 MILES SOUTH OF DAWN ROAD OVERCROSSING TO 0.5 MILE NORTH OF SILVER QUEEN ROAD OVERCROSSING
QA Service Level1 (Verified on 11/06/2020)

Sample Information

Sample Taken Date07/02/2021 Sample Unique Key11
Will the laboratory/organization for which you are a member perform testing on this material sample?No Date that the sample was received by the laboratory/organization performing the testing07/06/2021
Sample typeVerification A brief description of the sampleJMF 1/2" HMA-A-SP R25 0.8% Dry Lime
The quantity of what the sample constitutes2 Bags Coldfeed Agg., 2 Bags Agg., 2 Bags Rap From where was the sample collectedManufacturer
First name of sampler or witnessed byWillium Last name of sampler or witnessed byLucas
Title of sampler Telephone number of sampler
Laboratory sample identification0402A-21 Linked DIME Sample ID
The fabricator/manufacturer/facility nameGranite Construction Company Bigrock 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)91-19-0046::BIG ROCK CREEK- GRANITE
The fabricator's/manufacturer's product name for the sample The fabricator/manufacturer designation for the sample
The plant number1203 A detailed description of where the material sample was collectedBelt Cut at Granite Construction Company Big Rock
Where the material sample would have been placed if not sampledAsphalt Paving Primary Aggregate Nominal Size1/2 inch
The concrete mix design number Lot number
Sublot number Aggregate Mix NumberNot set

Submitted Tests

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

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Test File Attachments