Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2024-04-11-62
Project Information
Project Identifiers | Project ID: 994962 DEA: 07357304 EFIS: 0719000062 |
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DIST-CO-RTE-PM | 07-LA-5-6.6/13.1 |
Award Date | 04/27/2023 |
Closeout Date | Not set |
Work Description | REPLACE CONCRETE SLABS AND MEDIAN BARRIER, |
Location Description | LOS ANGELES COUNTY IN SANTA FE SPRINGS, DOWNEY AND CITY OF COMMERCE FROM 0.2 MILE SOUTH OF ROUTE 5/605 SEPARATION TO 0.1 MILE NORT |
QA Service Level | 1 (Verified on 07/13/2023) |
Sample Information
Sample Taken Date | 04/11/2024 | Sample Unique Key | 62 |
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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 | 04/11/2024 |
Sample type | Verification | A brief description of the sample | JMF 3/8" HMA-A-SP R15 PG64-10 |
The quantity of what the sample constitutes | 2 Bags Of Combined Agg., 1 Bag Rap | From where was the sample collected | Manufacturer |
First name of sampler or witnessed by | Alejandro | Last name of sampler or witnessed by | QC AAA |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | 0171A-24 | Linked DIME Sample ID | |
The fabricator/manufacturer/facility name | AAA-Corona Quarry/ SJR | 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 Irwindale Plant | |
Where the material sample would have been placed if not sampled | Asphalt Paving | Primary Aggregate Nominal Size | 3/8 inch |
The concrete mix design number | 109726 | 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 |
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No results found. |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |