Sample Record

Owner Lab

  • CT D07 - Materials Field Laboratory, Unit 1953

DIME Sample ID 2021-11-19-11

Project Information

Project IdentifiersProject ID: 214523
DEA: 07302504
EFIS: 0713000479
DIST-CO-RTE-PM07-VEN-23-R3.3/R11.5
Award Date02/06/2020
Closeout DateNot set
Work DescriptionPLACE HMA AND JPCP AND INDIVIDUAL SLAB REPLACEMENT.
Location DescriptionVENTURA COUNTY FROM ROUTE 101/23 SEPARATION TO NEW LOS ANGELES AVENUE UNDERCROSSING
QA Service Level1 (Verified on 03/17/2020)

Sample Information

Sample Taken Date11/19/2021 Sample Unique Key11
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 testing11/23/2021
Sample typeDepartment Acceptance A brief description of the sample3/4-inch Type A HMA
The quantity of what the sample constitutes750 Tons From where was the sample collectedSource
First name of sampler or witnessed byKevin Last name of sampler or witnessed byHopkins
Title of samplerMREA Telephone number of sampler2137924793
Laboratory sample identification21-0437 Linked DIME Sample ID
The fabricator/manufacturer/facility nameVulcan Sun Valley - Sheldon Transportation Laboratory (TL) Number111921A
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeHot Mix Asphalt HMA TypeType A HMA
HMA Grading3/4 inch Lot number
Sublot number HMA Mix NumberNot set

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Test File Attachments