Sample Record
Owner Lab
- CT D05 - Paso Robles Field Laboratory
DIME Sample ID 2024-06-07-123
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 994686 DEA: 051K4604 EFIS: 0518000210 |
|---|---|
| DIST-CO-RTE-PM | 05-SLO-46-29.7/32.2 |
| Award Date | 09/01/2023 |
| Closeout Date | 04/01/2025 |
| Work Description | COLD PLANE, PLACE HMA, RHMA, CONC PVMT, MODIFY SIGNAL AND LIGHTING. |
| Location Description | SAN LUIS OBISPO COUNTY IN PASO ROBLES FROM 300 FEET WEST OF ROUTE 101/46 SEPARATION TO 0.1 MILE EAST OF AIRPORT ROAD |
| QA Service Level | 1 (Verified on 04/18/2023) |
Sample Information
| Sample Taken Date | 06/07/2024 | Sample Unique Key | 123 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | No | Date that the sample was received by the laboratory/organization performing the testing | 06/07/2024 |
| Sample type | Quality Assurance | A brief description of the sample | 6 x 12 LCB Cylinders |
| The quantity of what the sample constitutes | 100CY | From where was the sample collected | Distributor |
| First name of sampler or witnessed by | Isaac | Last name of sampler or witnessed by | Chezem |
| Title of sampler | TET | Telephone number of sampler | 8052346493 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Vanguard | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Bid Item | Not set |
Material Information
| Material Type | Concrete | The concrete mix design number | HE4X3LCB |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 278 | |
| Concrete batch plant | Vanguard | The fabricator/manufacturer designation for the sample | |
| A detailed description of where the material sample was collected | back of the truck from the chute | Where the material sample would have been placed if not sampled | |
| From Lot No. | Bag Lot No. |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2024-06-07-123-1 CTM 521-June 2020 (Verified)
| File Name | Extension | Date Uploaded | Test ID | Actions |
|---|---|---|---|---|
| 05-1k4604_370038_240606_ILC_CTM521_LEANCONCRETEBASE_RS | xlsx | 12/13/2024 | 2024-06-07-123-1 | Info |