Sample Record
Owner Lab
- CT D07 - Plant Services
DIME Sample ID 2022-06-23-71
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 215664 DEA: 070W0304 EFIS: 0720000257 |
|---|---|
| DIST-CO-RTE-PM | 07-VEN,LA-126-R13.2/R34.6,R0.0/R4.1 |
| Award Date | 05/21/2021 |
| Closeout Date | 10/02/2023 |
| Work Description | REPLACE AC SURFACING, PLACE SLURRY SEAL AND PAVEMENT MARKING. |
| Location Description | VENTURA AND LOS ANGELES COUNTIES NEAR SANTA PAULA AND SANTA CLARITA FROM HALLOCK DRIVE TO CASTAIC CREEK BRIDGE |
| QA Service Level | 1 (Verified on 09/27/2021) |
Sample Information
| Sample Taken Date | 06/23/2022 | Sample Unique Key | 71 |
|---|---|---|---|
| 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 testing | 06/23/2022 |
| Sample type | Department Acceptance | A brief description of the sample | Type 1 Slurry Aggregate |
| The quantity of what the sample constitutes | 150 tons | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | MD | Last name of sampler or witnessed by | SHAHJAHAN |
| Title of sampler | Telephone number of sampler | 2133998666 | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Pavement Coatings Co | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Bid Item | Not set |
Material Information
| Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | 91-19-0015 |
|---|---|---|---|
| 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 collected | Stockpile @ Yard | |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | fine | |
| The concrete mix design number | Lot number | ||
| Sublot number | Aggregate Mix Number | Not set |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2022-06-23-71-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2022-06-23-71-2 CTM 217-June 2011 (Verified)
DIME Test ID: 2022-06-23-71-3 CTM 226-July 2010 (Verified)