Sample Record
Owner Lab
- CT D07 - Plant Services
DIME Sample ID 2022-06-17-43
Project Information
Project Identifiers | Project ID: 215664 DEA: 070W0304 EFIS: 0720000257 |
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DIST-CO-RTE-PM | 07-VEN,LA-126-R13.2/R34.6,R0.0/R4.1 |
Award Date | 05/21/2021 |
Closeout Date | 10/02/2023 |
Work Description | REPLACE AC SURFACING, PLACE SLURRY SEAL AND PAVEMENT MARKING. |
Location Description | VENTURA AND LOS ANGELES COUNTIES NEAR SANTA PAULA AND SANTA CLARITA FROM HALLOCK DRIVE TO CASTAIC CREEK BRIDGE |
QA Service Level | 1 (Verified on 09/27/2021) |
Sample Information
Sample Taken Date | 06/17/2022 | Sample Unique Key | 43 |
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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 | 06/17/2022 |
Sample type | Acceptance | A brief description of the sample | Type I Slurry Aggregate |
The quantity of what the sample constitutes | 150 tons | From where was the sample collected | Job Site |
First name of sampler or witnessed by | Kevin | Last name of sampler or witnessed by | Hopkins |
Title of sampler | Plant Inspector | Telephone number of sampler | 213-792-4793 |
Laboratory sample identification | KH203C | Linked DIME Sample ID | |
The fabricator/manufacturer/facility name | Pavement Coatings Co | Transportation Laboratory (TL) Number | C061722A |
Inspector Lot Number from the Transportation Laboratory (TL) Form | KH203C | Structure unique identifier | |
Structure name |
Material Information
Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | 91-19-0052 |
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The fabricator's/manufacturer's product name for the sample | Type 1 Slurry Seal | The fabricator/manufacturer designation for the sample | Pavement Coatings Co |
The plant number | Pavement Coatings Co | A detailed description of where the material sample was collected | Stockpile @ Yard |
Where the material sample would have been placed if not sampled | Jobsite | Primary Aggregate Nominal Size | fine |
The concrete mix design number | Type 1 Slurry Seal | Lot number | |
Sublot number | Aggregate Mix Number | Not set |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2022-06-17-43-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2022-06-17-43-2 CTM 217-June 2011 (Verified)
DIME Test ID: 2022-06-17-43-3 CTM 226-July 2010 (Verified)