Sample Record
Owner Lab
- CT D05 - Whitley Gardens Field Laboratory
DIME Sample ID 2025-10-20-30
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 994443 DEA: 053307C4 EFIS: 0514000028 |
|---|---|
| DIST-CO-RTE-PM | 05-SLO-41,46-44.5/45.3,54.0/57.8 |
| Award Date | 02/27/2023 |
| Closeout Date | Not set |
| Work Description | Wye Segment - Route 41/46 Separation |
| Location Description | Not set |
| QA Service Level | 1 (Verified on 12/16/2022) |
Sample Information
| Sample Taken Date | 10/20/2025 | Sample Unique Key | 30 |
|---|---|---|---|
| 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 | 10/20/2025 |
| Sample type | Acceptance | A brief description of the sample | Class 1 ASB- Grindings - 1372+20-1375+00 1-4 Lifts |
| The quantity of what the sample constitutes | 500 cy | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Sal | Last name of sampler or witnessed by | Zepeda |
| Title of sampler | CT Consultant | Telephone number of sampler | |
| Laboratory sample identification | 251020-1 Class 1 ASB Grind | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Papich Construction | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Bid Item | 71 - CLASS 1 AGGREGATE SUBBASE |
Material Information
| Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | Jobsite |
|---|---|---|---|
| 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 | Roadway | |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 1-1/2 inch | |
| The concrete mix design number | 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: 2025-10-20-30-1 CTM 217-June 2011 (Verified)
DIME Test ID: 2025-10-20-30-2 CTM 202-November 2011 (Verified)