Sample Record
Owner Lab
- CT D07 - Materials Field Laboratory, Unit 1953
DIME Sample ID 2021-10-14-70
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 214523 DEA: 07302504 EFIS: 0713000479 |
|---|---|
| DIST-CO-RTE-PM | 07-VEN-23-R3.3/R11.5 |
| Award Date | 02/06/2020 |
| Closeout Date | Not set |
| Work Description | PLACE HMA AND JPCP AND INDIVIDUAL SLAB REPLACEMENT. |
| Location Description | VENTURA COUNTY FROM ROUTE 101/23 SEPARATION TO NEW LOS ANGELES AVENUE UNDERCROSSING |
| QA Service Level | 1 (Verified on 03/17/2020) |
Sample Information
| Sample Taken Date | 10/14/2021 | Sample Unique Key | 70 |
|---|---|---|---|
| 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 | 11/24/2021 |
| Sample type | Department Acceptance | A brief description of the sample | 3/4" HMA-A 220831 SVA SJR |
| The quantity of what the sample constitutes | 750 Tons | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Chris | Last name of sampler or witnessed by | Willson |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | vulcan materials | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Hot Mix Asphalt | HMA Type | Type A HMA |
|---|---|---|---|
| HMA Grading | 3/4 inch | Lot number | |
| Sublot number | HMA 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. | |||