Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2026-05-18-32

Project Information

Project IdentifiersProject ID: 1000826
DEA: 07344504
EFIS: 0718000061
DIST-CO-RTE-PM07-VEN-150-
Award Date02/14/2025
Closeout DateNot set
Work DescriptionCOLD PLANE AND OVERLAY, MODIFY TRAFFIC SIGNALS AND REPLACE CURB RAMPS.
Location DescriptionVENTURA COUNTY IN SANTA PAULA FROM 0.2 MILE NORTH OF BRIDGE ROAD TO SANTA MARIA STREET
QA Service Level1 (Verified on 01/27/2025)

Sample Information

Sample Taken Date05/18/2026 Sample Unique Key32
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 testing05/19/2026
Sample typeVerification A brief description of the sample3/4" RHMA-G 0.5% LAS
The quantity of what the sample constitutesJMF; 3 quarts Hi-Nat From where was the sample collectedManufacturer
First name of sampler or witnessed byZeke Last name of sampler or witnessed byOrtega
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameGranite - Santa Paula Transportation Laboratory (TL) Number0236G-26
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
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size3/4 inch
The concrete mix design number1556 Lot number
Sublot number Aggregate Mix Number

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
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