Sample Record
Owner Lab
- CT D07 - Materials Field Laboratory, Unit 1953
DIME Sample ID 2024-04-11-81
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 | 04/11/2024 | Sample Unique Key | 81 |
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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 | 05/10/2024 |
Sample type | Department Acceptance | A brief description of the sample | 4-inch dia. HMA core |
The quantity of what the sample constitutes | 750 Tons | From where was the sample collected | Job Site |
First name of sampler or witnessed by | Jamal | Last name of sampler or witnessed by | Branbo |
Title of sampler | TEC | Telephone number of sampler | |
Laboratory sample identification | 24-077 | Linked DIME Sample ID | |
The fabricator/manufacturer/facility name | Peterson Chase | Transportation Laboratory (TL) Number | 04-11 |
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 | 220831A SVA LTR |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2024-04-11-81-1 AASHTO T275-07r12 (Verified)