Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2024-05-08-49
Project Information
| Project Identifiers | Project ID: 994296 DEA: 07336004 EFIS: 0716000375 |
|---|---|
| DIST-CO-RTE-PM | 07-VEN-118-R1.4/1.8 |
| Award Date | 12/07/2022 |
| Closeout Date | Not set |
| Work Description | CONSTRUCT STORMWATER TREATMENT DEVICES. |
| Location Description | IN VENTURA COUNTY NEAR SATICOY FROM 0.2 MILE EAST OF NARDO STREET TO 0.1 MILE WEST OF SANTA CLARA RIVER |
| QA Service Level | 1 (Verified on 10/06/2022) |
Sample Information
| Sample Taken Date | 05/08/2024 | Sample Unique Key | 49 |
|---|---|---|---|
| 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 | 05/13/2024 |
| Sample type | Department Acceptance | A brief description of the sample | 3/4" HMA-A-SP R25 |
| The quantity of what the sample constitutes | 12 BOXES OF HMA, 3 BAGS OF COMBINED AGGS, 1 BAG RAP 4 QTS OF PG58-16 | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | VICTOR | Last name of sampler or witnessed by | PHAM |
| Title of sampler | TET | Telephone number of sampler | |
| Laboratory sample identification | 0241A-24 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Granite Santa Paula | 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 | Hot Mix Asphalt | HMA Type | Type A HMA |
|---|---|---|---|
| HMA Grading | 3/4 inch | Lot number | |
| Sublot number | HMA Mix Number | 14342 | |
| Binder content (%) | Not set | Virgin binder PG | Not set |
| Design binder PG | Not set | Binder Supplier | Not set |
| RAP content (%) | Not set | WMA Additives | Not set |
| Antistrip type | Not set |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2024-05-08-49-1 AASHTO T209-22 (Verified)
DIME Test ID: 2024-05-08-49-2 AASHTO T269-14 (Verified)
DIME Test ID: 2024-05-08-49-3 AASHTO T275-07r12 (Verified)
DIME Test ID: 2024-05-08-49-4 AASHTO T308-10 (Verified)
