Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2022-04-19-64

Project Information

Project IdentifiersProject ID: 215148
DEA: 081E8404
EFIS: 0814000113
DIST-CO-RTE-PM08-RIV,SBD-62-R6.7/9.2,0.0/15.1,29.3/33.6
Award Date12/11/2020
Closeout Date03/01/2023
Work DescriptionREPLACE ROADWAY WITH RHMA-G AND HMA.
Location DescriptionIN 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 Level1 (Verified on 03/18/2021)

Sample Information

Sample Taken Date04/19/2022 Sample Unique Key64
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 testing04/19/2022
Sample typeAcceptance A brief description of the sample3/4" RHMA-G
The quantity of what the sample constitutes1 Bag Combined Aggregate 212.46 tons out From where was the sample collectedManufacturer
First name of sampler or witnessed byZachariah Last name of sampler or witnessed byRoush
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameMatich Cabazon 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)91-33-0008
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 collectedBelt
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size3/4 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
2022-04-19-64-1AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)B Martinez, CT D08 - Fontana Southern Regional Laboratory04/20/2022Alyssa Garcia
Yes
06/17/2022

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2022-04-19-64-1 AASHTO T27-14 (Verified)