Sample Record

DIME Sample ID 2019-06-10-4

Project Information

Project IdentifiersProject ID: 214004
DEA: 074W2704
EFIS: 0718000102
DIST-CO-RTE-PM07-VEN-101-8.9/11.5
Award Date04/22/2019
Closeout Date06/09/2025
Work DescriptionPLACE RHMA-G (BONDED WEARING COURSE).
Location DescriptionVENTURA COUNTY IN THOUSAND OAKS AND CAMARILLO FROM 1.1 MILE WEST OF WENDY DRIVE OVERCROSSING TO ARROYO CONEJO BRIDGE
QA Service Level1 (Verified on 07/15/2019)

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

Sample Information

Sample Taken Date06/10/2019 Sample Unique Key4
Date that the sample was received by the laboratory/organization performing the testing06/11/2019 Sample typeVerification
A brief description of the sample1/2 RHMA-G-BWC The quantity of what the sample constitutesJMF 6 bags
From where was the sample collectedManufacturer First name of sampler or witnessed byKevin Granite Santa Paula
Last name of sampler or witnessed byWilliam Title of sampler
Telephone number of sampler Laboratory sample identification0341G-19
Linked DIME Sample ID The fabricator/manufacturer/facility nameGranite Littlerock
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)91-19-0008::LITTLEROCK
The fabricator's/manufacturer's product name for the sample1/2 RHMA-G BWC The fabricator/manufacturer designation for the sample1346
The plant numberUnknown A detailed description of where the material sample was collectedBelt Cut at Plant
Where the material sample would have been placed if not sampledUnknown Primary Aggregate Nominal Size1/2 inch
The concrete mix design numberUnknown Lot numberUnknown
Sublot numberUnknown Aggregate Mix NumberNot set

Submitted Tests

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