Sample Record
Owner Labs
- CT SC - 3675 - Santa Barbara 1
- CT HQ - FFS - Skid Testing
DIME Sample ID 2025-06-17-5
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 994245 DEA: 051H4304 EFIS: 0516000073 |
|---|---|
| DIST-CO-RTE-PM | 05-SB-101-21.4/21.9 |
| Award Date | 03/02/2023 |
| Closeout Date | Not set |
| Work Description | San Jose Creek Bridge replacement |
| Location Description | SANTA BARBARA COUNTY IN GOLETA FROM ROUTE 101/217 SEPARATION TO 0.3 MILE NORTH OF SAN JOSE CREEK BRIDGE |
| QA Service Level | 1 (Verified on 09/19/2022) |
Sample Information
| Sample Taken Date | 06/17/2025 | Sample Unique Key | 5 |
|---|---|---|---|
| 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 | 06/17/2025 |
| Sample type | Acceptance | A brief description of the sample | Skid Testing Request |
| The quantity of what the sample constitutes | 1 bridge shoulder | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Jose Fabian | Last name of sampler or witnessed by | Velasco Diaz |
| Title of sampler | Structure Representative | Telephone number of sampler | 6198643162 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | MCM Construction | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | 51-0367L | |
| Structure name | Southbound 101 SAN JOSE CREEK BR | Bid Item | Not set |
Material Information
| Material Type | Roadway/Bridge Surface | Pavement Surface Type | PCC (Portland Cement Concrete) |
|---|---|---|---|
| Type of Traffic Control Provided | Stationary Lane Closure | DIST-CO-RTE | 05-SB-101 |
| Direction of Travel | South | Post Mile | 21.50 |
| Lanes to be Tested | Shoulder | Station |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2025-06-17-5-1 CTM 342-August 2012 (Verified)