Sample Record
Owner Lab
- CT D05 - Paso Robles Field Laboratory
DIME Sample ID 2025-05-15-51
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 | 05/15/2025 | Sample Unique Key | 51 |
|---|---|---|---|
| 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 | 05/16/2025 |
| Sample type | Acceptance | A brief description of the sample | 3 cylinders @ 4x8" |
| The quantity of what the sample constitutes | undercrossing abutment 2 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Juan | Last name of sampler or witnessed by | De La Torre |
| Title of sampler | ARE | Telephone number of sampler | 559-363-0082 |
| Laboratory sample identification | 05_15_25 590RN1010 - 1 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Cal Portland Concrete - Paso Robles, CA | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Welsona Undercrossing Abut 2 | Bid Item | Not set |
Material Information
| Material Type | Concrete | The concrete mix design number | 590RN1010 |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 1 | |
| Concrete batch plant | Cal Portland Concrete Paso Robles | The fabricator/manufacturer designation for the sample | |
| A detailed description of where the material sample was collected | Mix Truck | Where the material sample would have been placed if not sampled | Welsona Undercrossing Abut 2 |
| 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: 2025-05-15-51-1 CTM 521-June 2020 (Verified)
