Sample Record

Owner Lab

  • CT D08 - Fontana Southern Regional Laboratory

DIME Sample ID 2023-10-28-8

Project Information

Project IdentifiersProject ID: 994869
DEA: 073237U4
EFIS: 0720000224
DIST-CO-RTE-PM07-VEN-150-13.3/19
Award Date03/27/2023
Closeout DateNot set
Work DescriptionPLACE HMA (TYPE A) AND COLD PLANE ASPHALT
Location DescriptionVENTURA COUNTY IN AND NEAR OJAI FROM BURNHAM ROAD TO GORHAM ROAD
QA Service Level1 (Verified on 06/26/2023)

Sample Information

Sample Taken Date10/28/2023 Sample Unique Key8
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 testing10/31/2023
Sample typeVerification A brief description of the sampleJMF 3/4" HMA-A-SP R-0 0.5% LAS
The quantity of what the sample constitutes4 Bags Of Combined Aggregate From where was the sample collectedManufacturer
First name of sampler or witnessed byChris Last name of sampler or witnessed byHurtado
Title of sampler Telephone number of sampler
Laboratory sample identification0554A-23 Linked DIME Sample ID
The fabricator/manufacturer/facility nameVulcan-Saticoy Transportation Laboratory (TL) Number
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)91-19-0035
The fabricator's/manufacturer's product name for the sample The fabricator/manufacturer designation for the sample
The plant number A detailed description of where the material sample was collectedBelt Cut at Vulcan-Saticoy
Where the material sample would have been placed if not sampledAsphalt Paving Primary Aggregate Nominal Size3/4 inch
The concrete mix design number220817 SAT LTR Lot number
Sublot number Aggregate Mix Number

Combined Gradation Report Information

Combined Gradation Report IdBin IndexDime Test Id
No assigned tests for this sample.

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
No results found.

Sample File Attachments

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Test File Attachments