Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2019-12-19-19

Project Information

Project IdentifiersProject ID: 214708
DEA: 07323904
EFIS: 0716000072
DIST-CO-RTE-PM07-VEN-1-21.3/28.4
Award Date03/27/2023
Closeout DateNot set
Work DescriptionCOLD PLANE AC, PLACE RUBBERIZED HOT MIX AS
Location DescriptionVENTURA COUNTY NEAR VENTURA FROM ROUTE 1/101 SEPARATION TO MOBIL PIER ROAD.
QA Service Level1 (Verified on 07/12/2021)

Sample Information

Sample Taken Date12/19/2019 Sample Unique Key19
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 testing12/20/2019
Sample typePreliminary A brief description of the sampleSOIL SAMPLE OF SUBGRADE 2'-5' DEPTH
The quantity of what the sample constitutes1 bag From where was the sample collectedJob Site
First name of sampler or witnessed byJOSE Last name of sampler or witnessed byGUZMAN
Title of samplerMREA Telephone number of sampler
Laboratory sample identification9041 Linked DIME Sample ID2019-12-19-19
The fabricator/manufacturer/facility nameUnknown Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormSB PM 24 6 Structure unique identifier
Structure name

Material Information

Material TypeSoil The fabricator's/manufacturer's product name for the sampleUnknown
The fabricator/manufacturer designation for the sampleUnknown A detailed description of where the material sample was collectedPM 24.6 SB
Where the material sample would have been placed if not sampledUnknown

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2019-12-19-19-1CTM 301-March 2000: Method for Determining the Resistance "R" Value of Treated and Untreated Bases, Subbases, and Basement Soils by the Stabilometerkiet phan, CT D08 - Fontana Southern Regional Laboratory01/03/2020Jose Mendez
No
Info

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2019-12-19-19-1 CTM 301-March 2000