Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2023-11-28-34
Project Information
Project Identifiers | Project ID: 214708 DEA: 07323904 EFIS: 0716000072 |
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DIST-CO-RTE-PM | 07-VEN-1-21.3/28.4 |
Award Date | 03/27/2023 |
Closeout Date | Not set |
Work Description | COLD PLANE AC, PLACE RUBBERIZED HOT MIX AS |
Location Description | VENTURA COUNTY NEAR VENTURA FROM ROUTE 1/101 SEPARATION TO MOBIL PIER ROAD. |
QA Service Level | 1 (Verified on 07/12/2021) |
Sample Information
Sample Taken Date | 11/28/2023 | Sample Unique Key | 34 |
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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 | 12/01/2023 |
Sample type | Production Start-Up | A brief description of the sample | 3/4" HMA-A-SP R22, PG64-10, 0.50 LAS |
The quantity of what the sample constitutes | 20 Boxes of HMA | From where was the sample collected | Manufacturer |
First name of sampler or witnessed by | AVO | Last name of sampler or witnessed by | KARAJIAN |
Title of sampler | QC | Telephone number of sampler | |
Laboratory sample identification | 0591A-23 | Linked DIME Sample ID | |
The fabricator/manufacturer/facility name | Vulcan-Saticoy | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name |
Material Information
Material Type | Hot Mix Asphalt | HMA Type | Type A HMA |
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HMA Grading | 3/4 inch | Lot number | |
Sublot number | HMA Mix Number | 220831 SAT SJR |
Submitted Tests
DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
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No results found. |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |