Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2022-04-05-52

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 Date04/05/2022 Sample Unique Key52
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 testing04/08/2022
Sample typeAcceptance A brief description of the sample3/4" HMA-A 1.0% Dry Lime
The quantity of what the sample constitutes1 Bag Coldfeed Aggregate, 1897.0 tons out From where was the sample collectedManufacturer
First name of sampler or witnessed byFisher Last name of sampler or witnessed byQC
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameFisher Sand and Gravel Ehrenberg 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)Fisher Sand and Gravel Ehrenberg Pit
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 collectedConveyer Belt
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
2022-04-05-52-1AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)B Martinez, CT D08 - Fontana Southern Regional Laboratory04/09/2022Alyssa Garcia
Yes
07/13/2022

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2022-04-05-52-1 AASHTO T27-14 (Verified)