Sample Record

Owner Lab

  • CT D07 - Plant Services

DIME Sample ID 2022-06-24-40

Project Information

Project IdentifiersProject ID: 215664
DEA: 070W0304
EFIS: 0720000257
DIST-CO-RTE-PM07-VEN,LA-126-R13.2/R34.6,R0.0/R4.1
Award Date05/21/2021
Closeout Date10/02/2023
Work DescriptionREPLACE AC SURFACING, PLACE SLURRY SEAL AND PAVEMENT MARKING.
Location DescriptionVENTURA AND LOS ANGELES COUNTIES NEAR SANTA PAULA AND SANTA CLARITA FROM HALLOCK DRIVE TO CASTAIC CREEK BRIDGE
QA Service Level1 (Verified on 09/27/2021)

Sample Information

Sample Taken Date06/24/2022 Sample Unique Key40
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 testing06/24/2022
Sample typeAcceptance A brief description of the sampleType I Slurry Aggregate
The quantity of what the sample constitutes25 tons From where was the sample collectedJob Site
First name of sampler or witnessed byKevin Last name of sampler or witnessed byHopkins
Title of samplerPlant Inspector Telephone number of sampler213-792-4793
Laboratory sample identificationKH205E Linked DIME Sample ID
The fabricator/manufacturer/facility namePavement Coatings Co Transportation Laboratory (TL) NumberC062422A
Inspector Lot Number from the Transportation Laboratory (TL) FormKH205E Structure unique identifier
Structure name

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)91-19-0052
The fabricator's/manufacturer's product name for the sampleType 1 Slurry Seal The fabricator/manufacturer designation for the samplePavement Coatings Co
The plant numberPavement Coatings Co A detailed description of where the material sample was collectedStockpile @ Yard
Where the material sample would have been placed if not sampledJobsite Primary Aggregate Nominal Sizefine
The concrete mix design numberType 1 Slurry Seal Lot number
Sublot number Aggregate Mix NumberNot set

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2022-06-24-40-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesKevin Hopkins, CT D07 - Plant Services06/27/2022Kevin Hopkins
Yes
07/08/2022
2022-06-24-40-2CTM 217-June 2011: Method of Test for Sand EquivalentKevin Hopkins, CT D07 - Plant Services06/27/2022Kevin Hopkins
Yes
07/08/2022
2022-06-24-40-3CTM 226-July 2010: Method of Test for Determination of Moisture Content of Soils and Aggregates by Oven DryingKevin Hopkins, CT D07 - Plant Services06/27/2022Kevin Hopkins
Yes
07/08/2022

Sample File Attachments

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Test File Attachments


DIME Test ID: 2022-06-24-40-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2022-06-24-40-2 CTM 217-June 2011 (Verified)
DIME Test ID: 2022-06-24-40-3 CTM 226-July 2010 (Verified)