Sample Record
Owner Lab
- CT D08 - Fontana Southern Regional Laboratory
DIME Sample ID 2024-04-10-60
Project Information
Project Identifiers | Project ID: 993664 DEA: 073311U4 EFIS: 0719000098 |
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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 | 04/10/2024 | Sample Unique Key | 60 |
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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 | 04/18/2024 |
Sample type | Verification | A brief description of the sample | PSUE 3/4" HMA-A-SP R15 0.50% LAS |
The quantity of what the sample constitutes | 2 Bags of each Bin (1,2,3,4,5) 2 Bags of Sand, 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 | 0180A-24 | 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 |
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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 | Belt Cut at Vulcan Materials-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 |
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No results found. |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |