Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2022-04-08-28
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 214486 DEA: 080K1224 EFIS: 0815000244 |
|---|---|
| DIST-CO-RTE-PM | 08-SBD-15-R28.6/37.5 |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | REHBILIATATE EXISTING MAINLINE AND RAMP PAVEMENT |
| Location Description | SAN BERNARDINO COUNTY IN HESPERIA AND VICTORVILLE FROM OAK HILL ROAD OVERCROSSING TO 0.1 MILE SOUTH OF BEAR VALLEY ROAD OVERCROSSING |
| QA Service Level | 1 (Verified on 06/23/2021) |
Sample Information
| Sample Taken Date | 04/08/2022 | Sample Unique Key | 28 |
|---|---|---|---|
| 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 | 04/13/2022 |
| Sample type | Verification | A brief description of the sample | JMF 1" HMA-A-SP R25 1% LSM |
| The quantity of what the sample constitutes | 3 Bags C.F Agg. 8 Bags Of Virgin Agg., 2 Bags Rap | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Blue Diamond | Last name of sampler or witnessed by | QC |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | 0228A-22 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Blue Diamond Materials-Victorville | 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) | 91-36-0046, 91-36-0106 |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | The fabricator/manufacturer designation for the sample | ||
| The plant number | 300222 WM R25 | A detailed description of where the material sample was collected | Belt Cut at Blue Diamond Victorville Plant |
| Where the material sample would have been placed if not sampled | Asphalt Paving | Primary Aggregate Nominal Size | 1 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 |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||