Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2021-08-12-39
Project Information
Project Identifiers | Project ID: 215224 DEA: 080F5444 EFIS: 0818000209 COOP: 081714 |
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DIST-CO-RTE-PM | 08-RIV-91-17.4/18.9 |
Award Date | Not set |
Closeout Date | Not set |
Work Description | Operational and safety improvements by constructing a portion of the Ultimate SR?91 CIP Project on WB SR?91 from Green River Road to SR?241 to alleviate traffic congestion in this area (ORA Post Mile R17.4 to R18.9, RIV Post Mile R0.0 to R0.6). |
Location Description | The 91 COP consists of the following project components: adding a general purpose (GP) lane approximately 2 miles in length in the WB direction on SR?91 from Green River Road to SR?241. |
QA Service Level | 2 (Verified on 09/18/2020) |
Sample Information
Sample Taken Date | 08/12/2021 | Sample Unique Key | 39 |
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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 | 08/30/2021 |
Sample type | Verification | A brief description of the sample | JMF 3/8" HMA-A-SP R15 |
The quantity of what the sample constitutes | 4 Bags of Combined Agg., 2 Bags Of Rap | From where was the sample collected | Manufacturer |
First name of sampler or witnessed by | RMA | Last name of sampler or witnessed by | QC |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | 0507A-21 | Linked DIME Sample ID | |
The fabricator/manufacturer/facility name | All American Asphalt Corona | 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) | 91-33-0005 |
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The fabricator's/manufacturer's product name for the sample | The fabricator/manufacturer designation for the sample | ||
The plant number | 106926 | A detailed description of where the material sample was collected | Belt Cut at All American Corona Plant |
Where the material sample would have been placed if not sampled | Asphalt Paving | Primary Aggregate Nominal Size | 3/8 inch |
The concrete mix design number | Lot number | ||
Sublot number | Aggregate Mix Number | Not set |
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. |