Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2022-04-18-64
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 215148 DEA: 081E8404 EFIS: 0814000113 |
|---|---|
| DIST-CO-RTE-PM | 08-RIV,SBD-62-R6.7/9.2,0.0/15.1,29.3/33.6 |
| Award Date | 12/11/2020 |
| Closeout Date | 03/01/2023 |
| Work Description | REPLACE ROADWAY WITH RHMA-G AND HMA. |
| Location Description | IN RIVERSIDE AND SAN BERNARDINO COUNTIES IN AND NEAR YUCCA VALLEY AND IN TWENTYNINE PALMS FROM 0.2 MILE NORTH OF INDIAN CANYON DRIVE TO 0.6 MILE WEST OF UTAH TRAIL |
| QA Service Level | 1 (Verified on 03/18/2021) |
Sample Information
| Sample Taken Date | 04/18/2022 | Sample Unique Key | 64 |
|---|---|---|---|
| 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 | 04/18/2022 |
| Sample type | Acceptance | A brief description of the sample | 3/4" RHMA-G |
| The quantity of what the sample constitutes | 1 Bag Combined Aggregate 1024.74 tons out | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Zachariah | Last name of sampler or witnessed by | Roush |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Matich Cabazon | 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) | 91-33-0008 |
|---|---|---|---|
| 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 collected | Belt | |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 3/4 inch | |
| The concrete mix design number | Lot number | ||
| Sublot number | Aggregate Mix Number | Not set |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2022-04-18-64-1 AASHTO T27-14 (Verified)