Sample Record

DIME Sample ID 2023-11-27-20

Project Information

Project IdentifiersProject ID: 994648
DEA: 070W3904
EFIS: 0722000045
DIST-CO-RTE-PM07-VEN-101-10.7/26.7
Award Date06/20/2023
Closeout DateNot set
Work DescriptionSLURRY SEAL.
Location DescriptionVENTURA COUNTY FROM CAMARILLO SPRINGS ROAD UNDERCROSSING IN CAMARILLO TO MAIN STREET UNDERCROSSING IN VENTURA
QA Service Level1 (Verified on 07/24/2023)

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

Sample Information

Sample Taken Date11/27/2023 Sample Unique Key20
Date that the sample was received by the laboratory/organization performing the testing11/30/2023 Sample typeVerification
A brief description of the sample2 Bags of each Bin Agg. (1,2,3,4), 1 Bag of RAP: The quantity of what the sample constitutesPSUE 3/4" WMA-A-SP R15 0.50% EVO
From where was the sample collectedManufacturer First name of sampler or witnessed byEsteban
Last name of sampler or witnessed byQC Title of sampler
Telephone number of sampler Laboratory sample identification0589A-23
Linked DIME Sample ID The fabricator/manufacturer/facility nameFish Canyon Irwindale/ Vulcan Sun Valley/Ingevity/ VLO
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 Plant
Where the material sample would have been placed if not sampledAsphalt Paving Primary Aggregate Nominal Size3/4 inch
The concrete mix design number220826 SVA VLO Lot number
Sublot number Aggregate Mix Number

Submitted Tests

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