Sample Record

DIME Sample ID 2026-05-08-36

Project Information

Project IdentifiersProject ID: 994190
DEA: 07341604
EFIS: 0717000194
DIST-CO-RTE-PM07-VEN-118-13.3/15.6
Award Date10/25/2022
Closeout DateNot set
Work DescriptionCONSTRUCT NEW MODULAR OFFICE FACILITY.
Location DescriptionVENTURA COUNTY IN AND NEAR MOORPARK FROM 0.1 MILE EAST OF BALCOM CANYON ROAD TO 0.1 MILE WEST OF MONTAIR DRIVE
QA Service Level1 (Verified on 09/20/2022)

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

Sample Information

Sample Taken Date05/08/2026 Sample Unique Key36
Date that the sample was received by the laboratory/organization performing the testing05/13/2026 Sample typeVerification
A brief description of the samplePSU 3/4" HMA-A-SP R25 The quantity of what the sample constitutes4 bags of Cold feed, 2 bags of RAP
From where was the sample collectedManufacturer First name of sampler or witnessed byQC
Last name of sampler or witnessed byQC Title of sampler
Telephone number of sampler Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameGranite - Santa Paula
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) 91-19-0046
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 Plant
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size3/4 inch
The concrete mix design number Lot number
Sublot number Aggregate Mix Number

Submitted Tests

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