Sample Record
Owner Lab
- CT D05 - Paso Robles Field Laboratory
DIME Sample ID 2025-04-28-12
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 215038 DEA: 051J7804 EFIS: 0518000052 |
|---|---|
| DIST-CO-RTE-PM | 05-SLO-101-61.88/61.88 |
| Award Date | 10/22/2024 |
| Closeout Date | Not set |
| Work Description | SAFETY IMPROVEMENTS |
| Location Description | WELLSONA SAFETY IMPROVEMENTS, SLO 101 |
| QA Service Level | 1 (Verified on 09/03/2020) |
Sample Information
| Sample Taken Date | 04/28/2025 | Sample Unique Key | 12 |
|---|---|---|---|
| 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 | 04/28/2025 |
| Sample type | Quality Assurance | A brief description of the sample | Concrete sand |
| The quantity of what the sample constitutes | 4 Bags | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Chris | Last name of sampler or witnessed by | Palmer |
| Title of sampler | TET | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | CalPortland Cement | 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 | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | 91-42-0014 |
|---|---|---|---|
| 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 | Stockpile @ Plant | |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | fine | |
| The concrete mix design number | 590RN1010 | Lot number | |
| Sublot number | Aggregate Mix Number |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2025-04-28-12-1 AASHTO T27-14 (Verified)
DIME Test ID: 2025-04-28-12-2 CTM 217-June 2011 (Verified)