Sample Record

Owner Lab

  • CT D07 - Plant Services

DIME Sample ID 2023-05-06-12

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 215634
DEA: 074W8004
EFIS: 0719000298
DIST-CO-RTE-PM07-VEN-33,101,118-Var
Award Date05/21/2021
Closeout Date12/01/2023
Work DescriptionFURNISH AND PLACE POLYESTER CONCRETE OVERLAY ON BRIDGE DECK.
Location DescriptionVENTURA COUNTY AT VARIOUS LOCATIONS
QA Service Level1 (Verified on 08/02/2021)

Sample Information

Sample Taken Date05/06/2023 Sample Unique Key12
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 testing05/08/2023
Sample typeAcceptance A brief description of the sample3/4 HMA-A
The quantity of what the sample constitutes350 tons From where was the sample collectedManufacturer
First name of sampler or witnessed byvictor Last name of sampler or witnessed byPham
Title of sampler Telephone number of sampler2137924794
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameGranite - Santa Paula Transportation Laboratory (TL) Number0506A1
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)91-19-0046
The fabricator's/manufacturer's product name for the sample3/4 HMA-A The fabricator/manufacturer designation for the samplemix 13762
The plant numberSanta Paula A detailed description of where the material sample was collectedBelt Discharge
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size3/4 inch
The concrete mix design number13762 Lot number
Sublot number Aggregate Mix Number

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2023-05-06-12-1AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)A.Truong, CT D07 - Plant Services05/12/2023Victor Pham
Yes
05/24/2023
2023-05-06-12-2AASHTO T176-08: Standard Method of Test for Plastic Fines in Graded Aggregates and Soils by Use of the Sand Equivalent Test (Sand Equivalent)A.Truong, CT D07 - Plant Services05/12/2023Victor Pham
Yes
05/24/2023
2023-05-06-12-3AASHTO T11-5: Standard Method of Test for Materials Finer Than 75-μm (No. 200) Sieve in Mineral Aggregates by WashingA.Truong, CT D07 - Plant Services05/12/2023Victor Pham
Yes
05/24/2023

Sample File Attachments

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Test File Attachments


DIME Test ID: 2023-05-06-12-1 AASHTO T27-14 (Verified)
DIME Test ID: 2023-05-06-12-2 AASHTO T176-08 (Verified)
DIME Test ID: 2023-05-06-12-3 AASHTO T11-5 (Verified)