Sample Record

Owner Lab

  • CT D07 - Materials Field Laboratory, Unit 1953

DIME Sample ID 2024-04-11-81

Project Information

Project IdentifiersProject ID: 993664
DEA: 073311U4
EFIS: 0719000098
DIST-CO-RTE-PM07-VEN-23,101-R3.3/R3.7,0.2/40.8
Award Date08/31/2022
Closeout DateNot set
Work DescriptionCONSTRUCT GUARDRAILS AND CONCRETE BARRIER.
Location DescriptionVENTURA 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 Level1 (Verified on 05/11/2022)

Sample Information

Sample Taken Date04/11/2024 Sample Unique Key81
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 testing05/10/2024
Sample typeDepartment Acceptance A brief description of the sample4-inch dia. HMA core
The quantity of what the sample constitutes750 Tons From where was the sample collectedJob Site
First name of sampler or witnessed byJamal Last name of sampler or witnessed byBranbo
Title of samplerTEC Telephone number of sampler
Laboratory sample identification24-077 Linked DIME Sample ID
The fabricator/manufacturer/facility namePeterson Chase Transportation Laboratory (TL) Number04-11
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeHot Mix Asphalt HMA TypeType A HMA
HMA Grading3/4 inch Lot number
Sublot number HMA Mix Number220831A SVA LTR

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2024-04-11-81-1AASHTO T275-07r12: Standard Method of Test for Bulk Specific Gravity (Gmb) of Compacted Asphalt Mixtures Using Paraffin-Coated Specimens (Bulk Specific Gravity)Arnold Truong, CT D07 - Materials Field Laboratory, Unit 195305/14/2024Robert Achuela
Yes
05/16/2024

Sample File Attachments

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Test File Attachments


DIME Test ID: 2024-04-11-81-1 AASHTO T275-07r12 (Verified)