Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2025-08-15-44

Project Information

Project IdentifiersProject ID: 1000802
DEA: 07346804
EFIS: 0718000079
DIST-CO-RTE-PM07-VEN-232-0.4/R4.1
Award Date02/04/2025
Closeout DateNot set
Work DescriptionCOLD PLANE AND OVERLAY WITH HMA & RHMA.
Location DescriptionVENTURA COUNTY IN AND NEAR OXNARD FROM ROUTE 232/101 SEPARATION TO ROUTE 118
QA Service Level1 (Verified on 01/27/2025)

Sample Information

Sample Taken Date08/15/2025 Sample Unique Key44
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 testing08/21/2025
Sample typeVerification A brief description of the sample3/4" HMA A SP RAP 25% LAS 0.50%
The quantity of what the sample constitutes3 Bags of Comb Agg,2 Bags of rap From where was the sample collectedManufacturer
First name of sampler or witnessed byCristopher Last name of sampler or witnessed byHurtado
Title of sampler Telephone number of sampler
Laboratory sample identification0522A-25 Linked DIME Sample ID
The fabricator/manufacturer/facility namevulcan saticoy Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name Bid ItemNot set

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)91-19-0035,91-19-0020
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 Vulcan Materials- Saticoy
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size3/4 inch
The concrete mix design number220200 SAT VLO Lot number
Sublot number Aggregate Mix Number

Submitted Tests

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