Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2023-06-05-61
Project Information
Project Identifiers | Project ID: 993547 DEA: 081G7204 EFIS: 0816000057 COOP: 081666 Permit Numbers: 0819AOP0691 |
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DIST-CO-RTE-PM | 08--- |
Award Date | 12/30/2021 |
Closeout Date | Not set |
Work Description | METS have reviewed the (Source Inspection Quality Management Plan) SIQMP, Rev1 submitted on behalf of The city of Lake Elsinore. We are glad to inform you that it significantly complies. |
Location Description | Not set |
QA Service Level | 2 (Verified on 01/31/2022) |
Sample Information
Sample Taken Date | 06/05/2023 | Sample Unique Key | 61 |
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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 | 07/21/2023 |
Sample type | Verification | A brief description of the sample | JMF-1/2" RHMA-G-SP 1.0% LAS |
The quantity of what the sample constitutes | 4 Bags Of Comb. Agg., 1 Bag each Of Scrap & Crum Rubber | From where was the sample collected | Manufacturer |
First name of sampler or witnessed by | Victor | Last name of sampler or witnessed by | Capacete |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | 0376G-23 | Linked DIME Sample ID | |
The fabricator/manufacturer/facility name | All American Asphalt- Corona | 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) | 91-33-0005 |
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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 Cut at All American Corona Plant | |
Where the material sample would have been placed if not sampled | Asphalt Paving | Primary Aggregate Nominal Size | 1/2 inch |
The concrete mix design number | 106836 | Lot number | |
Sublot number | Aggregate Mix Number |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2023-06-05-61-1 AASHTO T27-14 (Verified)
DIME Test ID: 2023-06-05-61-2 AASHTO T84-14 (Verified)
DIME Test ID: 2023-06-05-61-3 AASHTO T85-13 (Verified)
DIME Test ID: 2023-06-05-61-4 AASHTO T96-02r10 (Verified)
DIME Test ID: 2023-06-05-61-5 AASHTO T176-08 (Verified)
DIME Test ID: 2023-06-05-61-6 AASHTO T304-11 (Verified)
DIME Test ID: 2023-06-05-61-7 AASHTO T335-09r13 (Verified)
DIME Test ID: 2023-06-05-61-8 ASTM D4791-10 (Verified)