Sample Record

Owner Lab

  • Fisher Sand & Gravel

DIME Sample ID 2021-10-20-35

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 215349
DEA: 081C0824
EFIS: 0816000087
DIST-CO-RTE-PM08-RIV-10-R104.9/R134.2
Award Date03/24/2021
Closeout DateNot set
Work DescriptionPLACE HMA (TYPE A), JPCP AND IMPORTED BORROW.
Location DescriptionRIVERSIDE COUNTY FROM ROUTE 10/177 SEPARATION TO 1.1 MILES WEST OF WILEY'S WELL RD OC
QA Service Level1 (Verified on 03/01/2021)

Sample Information

Sample Taken Date10/20/2021 Sample Unique Key35
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 testing10/21/2021
Sample typeQuality Control A brief description of the sampleEagle Mountain Aggregate Base Type 2
The quantity of what the sample constitutes500 cubic yards From where was the sample collectedJob Site
First name of sampler or witnessed bySony Last name of sampler or witnessed byPheng
Title of samplerQC Tester Telephone number of sampler909-676-2447
Laboratory sample identification20211021-01 Linked DIME Sample ID
The fabricator/manufacturer/facility nameEagle Mountain Mine 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 or name of Pit)Eagle Mountain
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 collectedWindrow in the field.
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size1 inch
The concrete mix design number Lot number
Sublot number HMA Design ID

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2021-10-20-35-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesSony PhengFisher Sand & Gravel10/21/2021Robert Read
Yes
10/28/2021