Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2023-11-28-42
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 | 42 |
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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 | Verification | A brief description of the sample | PSUE 3/4" HMA-A-SP R22, PG64-10, 0.50% LAS |
The quantity of what the sample constitutes | 8 bags of agg., 3 bags of RAP | 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 | Telephone number of sampler | ||
Laboratory sample identification | 0591A-23 | Linked DIME Sample ID | |
The fabricator/manufacturer/facility name | Saticoy/ ArrMaz Ad-Here LOF 65-00/ SJR/ Palmdale/ San Emidio/ Fish Canyon | 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, 91-15-0041, 91-19-0020 |
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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 - Saticoy | |
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 SAT SJR | 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 |
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No results found. |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |