Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2023-11-02-46
Sample Details QR Code
Scan this code to open this Sample Details view on another device.
Project Information
| Project Identifiers | Project ID: 993664 DEA: 073311U4 EFIS: 0719000098 |
|---|---|
| DIST-CO-RTE-PM | 07-VEN-23,101-R3.3/R3.7,0.2/40.8 |
| Award Date | 08/31/2022 |
| Closeout Date | Not set |
| Work Description | CONSTRUCT GUARDRAILS AND CONCRETE BARRIER. |
| Location Description | VENTURA COUNTY IN THOUSAND OAKS, CAMARILLO, OXNARD AND VENTURA ON ROUTE 101 FROM THE LOS ANGELES /VENTURA COUNTY LINE TO OLD PACIFIC COAST HIGHWAY AND ON ROUTE 23 FROM ROUTE 23/101 SEPARATION TO HILLCREST DRIVE |
| QA Service Level | 1 (Verified on 05/11/2022) |
Sample Information
| Sample Taken Date | 11/02/2023 | Sample Unique Key | 46 |
|---|---|---|---|
| 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 | 11/07/2023 |
| Sample type | Verification | A brief description of the sample | 3/4" HMA-A-SP R15 0.50% LAS |
| The quantity of what the sample constitutes | 2 bags of each bin (1,2,3,4) and 2 bags of sand and 1 bag of Rap | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Esteban | Last name of sampler or witnessed by | Salgado |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | 0570A-23 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Fish Canyon - Irwindale/ LTR/ ArrMaz | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Aggregate | 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 collected | Vulcan Sun Valley | |
| Where the material sample would have been placed if not sampled | Asphalt Paving | Primary Aggregate Nominal Size | 3/4 inch |
| The concrete mix design number | 220831 SVA LTR | Lot number | |
| Sublot number | Aggregate Mix Number |
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. | |||