Sample Record

Owner Lab

  • CT SC - 3675 - Santa Cruz Field Office

DIME Sample ID 2025-05-27-1

Project Information

Project IdentifiersProject ID: 993868
DEA: 050C7324
EFIS: 0512000228
DIST-CO-RTE-PM05-SCR-1-13.4/14.9
Award Date10/14/2022
Closeout DateNot set
Work DescriptionCONSTRUCT PEDESTRIAN OVERCROSSING AND AUXILIARY LANE.
Location DescriptionSANTA CRUZ COUNTY IN AND NEAR CITY OF CAPITOLA FROM 0.2 MILE SOUTH OF 41ST AVENUE OVERCROSSING TO 0.2 MILE NORTH OF SOQUEL DRIVE OVERCROSSING
QA Service Level1 (Verified on 06/17/2022)

Sample Information

Sample Taken Date05/27/2025 Sample Unique Key1
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 testing05/27/2025
Sample typeAcceptance A brief description of the sampleSkid Testing Request
The quantity of what the sample constitutesMultiple Lanes From where was the sample collectedJob Site
First name of sampler or witnessed byGabriella Last name of sampler or witnessed byGiordano
Title of sampler Telephone number of sampler8057483183
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameEnnis-Flint and Swarco Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name Bid ItemNot set

Material Information

Material TypeMethacrylate Mfg. Lot Number(s)L25040133
Batch numberSM2410R1269 Mix number268 Gallons

Submitted Tests

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