Sample Record

Owner Lab

  • CT D05 - Carpinteria Field Laboratory

DIME Sample ID 2025-08-27-16

Project Information

Project IdentifiersProject ID: 994864
DEA: 050N74U4
EFIS: 0522000025
DIST-CO-RTE-PM05-SB-101-9.9/10.6
Award Date07/10/2023
Closeout DateNot set
Work DescriptionSB 101 4D North San Ysidro to Olive Mill
Location DescriptionIn Santa Barbara County in and near Santa Barbara from 0.1 mile south of San Ysidro Road Overcrossing to 0.1 north of Olive Mill Road Overcrossing
QA Service Level1 (Verified on 08/21/2023)

Sample Information

Sample Taken Date08/27/2025 Sample Unique Key16
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 testing08/27/2025
Sample typeQuality Assurance A brief description of the sample3/8 PCC Aggregates
The quantity of what the sample constitutes20 From where was the sample collectedSupplier
First name of sampler or witnessed byMike Last name of sampler or witnessed byBennett
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameCemex Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name Bid ItemNot set

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)91-56-0032
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 collectedStockpile
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size1/2 inch
The concrete mix design number1627309 Lot number
Sublot number Aggregate Mix Number

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
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Sample File Attachments

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Test File Attachments