Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2023-12-06-7

Project Information

Project IdentifiersProject ID: 214549
DEA: 081H2904
EFIS: 0817000006
DIST-CO-RTE-PM08-SBD-173-18.7
Award Date08/20/2020
Closeout Date10/02/2024
Work DescriptionSTRUCTURAL CONCRETE SOIL NAIL WALL AND SOLDIER PILE WALL.
Location DescriptionSAN BERNARDINO COUNTY NEAR CEDAR GLEN AT 0.1 MILE SOUTH OF HOSPITAL ROAD
QA Service Level1 (Verified on 01/13/2020)

Sample Information

Sample Taken Date12/06/2023 Sample Unique Key7
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 testing12/07/2023
Sample typeVerification A brief description of the samplePSUE 3/4" HMA-A R15 0.5% LAS
The quantity of what the sample constitutes2 bags of Agg., 1 bag of RAP From where was the sample collectedManufacturer
First name of sampler or witnessed byNathan Last name of sampler or witnessed byOgbasellasie
Title of sampler Telephone number of sampler
Laboratory sample identification0608A-23 Linked DIME Sample ID
The fabricator/manufacturer/facility nameCemex Lytle Creek/ Valero/ Pre Tech INC 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)91-36-0040
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 Cut at Matich Plant Rialto
Where the material sample would have been placed if not sampledAsphalt Paving Primary Aggregate Nominal Size3/4 inch
The concrete mix design numberLHP-63D Lot number
Sublot number Aggregate Mix Number

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
No results found.

Sample File Attachments

File NameExtensionDate UploadedActions
No results found.

Test File Attachments