Sample Record for 2019-06-10-4
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 214004 DEA: 074W2704 EFIS: 0718000102
QA Service Level: 1
DIST-CO-RTE-PM: 07-VEN-101-8.9/11.5
Work Description: PLACE RHMA-G (BONDED WEARING COURSE).
Location Description: VENTURA COUNTY IN THOUSAND OAKS AND CAMARILLO FROM 1.1 MILE WEST OF WENDY DRIVE OVERCROSSING TO ARROYO CONEJO BRIDGE
Contractor Name: GRANITE CONSTRUCTION COMPANY
Contractor Address: 213 Columbia Way, Lancaster, CA 93535
Resident Engineer: Alfred Ira Structure Rep.: Unknown
Sample Information
DIME Sample ID: 2019-06-10-4
TL Number from the TL Form:
Sample Submitted By Organization: CT D08 - Fontana Southern Regional Laboratory
Sample Organization Contact: 213-792-4794
Type of Sample: Verification
Type of Material: Aggregate
Sample Taken Date: 06/10/2019
Date that the sample was received by the laboratory/organization performing the testing: 06/11/2019
The quantity of what the sample constitutes: JMF 6 bags
A brief description of the sample: 1/2 RHMA-G-BWC
From where was the sample collected: Manufacturer
Laboratory sample identification: 0341G-19
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Granite Littlerock
Material Information
Source Identification (SMARA, name of Pit or Job Site): 91-19-0008::LITTLEROCK
The fabricator's/manufacturer's product name for the sample: 1/2 RHMA-G BWC
The fabricator/manufacturer designation for the sample: 1346
The plant number: Unknown
A detailed description of where the material sample was collected: Belt Cut at Plant
Where the material sample would have been placed if not sampled: Unknown
Primary Aggregate Nominal Size: 1/2 inch
The concrete mix design number: Unknown
Lot number: Unknown
Sublot number: Unknown
Aggregate Mix Number:
Test Results
