Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2019-06-10-4
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 214004 DEA: 074W2704 EFIS: 0718000102 |
|---|---|
| DIST-CO-RTE-PM | 07-VEN-101-8.9/11.5 |
| Award Date | 04/22/2019 |
| Closeout Date | Not set |
| Work Description | PLACE RHMA-G (BONDED WEARING COURSE). |
| Location Description | VENTURA COUNTY IN THOUSAND OAKS AND CAMARILLO FROM 1.1 MILE WEST OF WENDY DRIVE OVERCROSSING TO ARROYO CONEJO BRIDGE |
| QA Service Level | 1 (Verified on 07/15/2019) |
Sample Information
| Sample Taken Date | 06/10/2019 | Sample Unique Key | 4 |
|---|---|---|---|
| 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 | 06/11/2019 |
| Sample type | Verification | A brief description of the sample | 1/2 RHMA-G-BWC |
| The quantity of what the sample constitutes | JMF 6 bags | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Kevin Granite Santa Paula | Last name of sampler or witnessed by | William |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | 0341G-19 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Granite Littlerock | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | 91-19-0008::LITTLEROCK |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | 1/2 RHMA-G BWC | The fabricator/manufacturer designation for the sample | 1346 |
| The plant number | Unknown | A detailed description of where the material sample was collected | Belt Cut at Plant |
| Where the material sample would have been placed if not sampled | Unknown | Primary Aggregate Nominal Size | 1/2 inch |
| The concrete mix design number | Unknown | Lot number | Unknown |
| Sublot number | Unknown | Aggregate Mix Number | Not set |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||