Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2019-10-07-27
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Project Information
| Project Identifiers | Project ID: 214670 DEA: 07331004 EFIS: 0716000220 |
|---|---|
| DIST-CO-RTE-PM | 07-VEN-101-9.0/9.2 |
| Award Date | 04/13/2022 |
| Closeout Date | Not set |
| Work Description | CONCRETE SLAB REPLACEMENT & GRIND, PAVEMENT & RESURFACE ACE |
| Location Description | VENTURA COUNTY IN THOUSAND OAKS FROM NORTHBOUND OFF-RAMP TO SOUTHBOUND OFF-RAMP AT CONEJO COMMERCIAL VEHICLE ENFORCEMENT FACILITIES |
| QA Service Level | 1 (Verified on 07/12/2021) |
Sample Information
| Sample Taken Date | 10/07/2019 | Sample Unique Key | 27 |
|---|---|---|---|
| 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 | 10/09/2019 |
| Sample type | Preliminary | A brief description of the sample | native soil sample 3' |
| The quantity of what the sample constitutes | 1 bag | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | JOSE | Last name of sampler or witnessed by | MENDEZ |
| Title of sampler | TET | Telephone number of sampler | |
| Laboratory sample identification | 8759 | Linked DIME Sample ID | 2019-10-07-27 |
| The fabricator/manufacturer/facility name | None | Transportation Laboratory (TL) Number | C989226 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | SAMPLE 3 RTE NB101 PM 9 | Structure unique identifier | |
| Structure name | CONEJO WIM FACILITY NB |
Material Information
| Material Type | Soil | The fabricator's/manufacturer's product name for the sample | Unknown |
|---|---|---|---|
| The fabricator/manufacturer designation for the sample | Unknown | A detailed description of where the material sample was collected | RTE 101NB PM 9.0 RT SHLD MID POINT TOP |
| Where the material sample would have been placed if not sampled | Unknown |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| 2019-10-07-27-1 | CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse Aggregates | LARRY DIAZ, CT D08 - Fontana Southern Regional Laboratory | 10/14/2019 | Jose Mendez | No | Info | ||
| 2019-10-07-27-2 | CTM 301-March 2000: Method for Determining the Resistance "R" Value of Treated and Untreated Bases, Subbases, and Basement Soils by the Stabilometer | KIET PHAN, CT D08 - Fontana Southern Regional Laboratory | 10/17/2019 | Jose Mendez | No | Info |
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2019-10-07-27-1 CTM 202-November 2011
DIME Test ID: 2019-10-07-27-2 CTM 301-March 2000