Sample Record

DIME Sample ID 2023-11-02-46

Project Information

Project IdentifiersProject ID: 993664
DEA: 073311U4
EFIS: 0719000098
DIST-CO-RTE-PM07-VEN-23,101-R3.3/R3.7,0.2/40.8
Award Date08/31/2022
Closeout DateNot set
Work DescriptionCONSTRUCT GUARDRAILS AND CONCRETE BARRIER.
Location DescriptionVENTURA COUNTY IN THOUSAND OAKS, CAMARILLO, OXNARD AND VENTURA ON ROUTE 101 FROM THE LOS ANGELES /VENTURA COUNTY LINE TO OLD PACIFIC COAST HIGHWAY AND ON ROUTE 23 FROM ROUTE 23/101 SEPARATION TO HILLCREST DRIVE
QA Service Level1 (Verified on 05/11/2022)

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

Sample Information

Sample Taken Date11/02/2023 Sample Unique Key46
Date that the sample was received by the laboratory/organization performing the testing11/07/2023 Sample typeVerification
A brief description of the sample3/4" HMA-A-SP R15 0.50% LAS The quantity of what the sample constitutes2 bags of each bin (1,2,3,4) and 2 bags of sand and 1 bag of Rap
From where was the sample collectedManufacturer First name of sampler or witnessed byEsteban
Last name of sampler or witnessed bySalgado Title of sampler
Telephone number of sampler Laboratory sample identification0570A-23
Linked DIME Sample ID The fabricator/manufacturer/facility nameFish Canyon - Irwindale/ LTR/ ArrMaz
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
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 collectedVulcan Sun Valley
Where the material sample would have been placed if not sampledAsphalt Paving Primary Aggregate Nominal Size3/4 inch
The concrete mix design number220831 SVA LTR Lot number
Sublot number Aggregate Mix Number

Submitted Tests

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