Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2024-03-17-12
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 214951 DEA: 120K0234 EFIS: 1214000100 |
|---|---|
| DIST-CO-RTE-PM | 12-ORA-5-17.1/18.9 |
| Award Date | 09/23/2020 |
| Closeout Date | Not set |
| Work Description | South County Improvement Project (Phase 3 - El Toro/Alicia) WIDEN FREEWAY AND BRIDGES, RECONSTRUCT BRIDGE AND WALLS. |
| Location Description | ORANGE COUNTY IN MISSION VIEJO, LAGUNA HILLS, LAGUNA WOODS AND LAKE FOREST FROM 0.4 MILE SOUTH OF ALICIA PARKWAY OVERCROSSING TO 0.2 MILE NORTH OF EL TORO ROAD UNDERCROSSING |
| QA Service Level | 1 (Verified on 10/01/2020) |
Sample Information
| Sample Taken Date | 03/17/2024 | Sample Unique Key | 12 |
|---|---|---|---|
| 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 | 03/22/2024 |
| Sample type | Verification | A brief description of the sample | PSUE HMA-A-SP R15 No LAS |
| The quantity of what the sample constitutes | 4 Bags of Agg, 1 Bag Rap | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Sam | Last name of sampler or witnessed by | Yamyari |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | 0146A-24 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | All American Asphalt-Irwindale | 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 |
|---|---|---|---|
| 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 Irwindale 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 | 104775 | Lot number | |
| Sublot number | Aggregate Mix Number |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||