Sample Record

DIME Sample ID 2022-02-23-11

Project Information

Project IdentifiersProject ID: 214979
DEA: 051F4904
EFIS: 0514000002
DIST-CO-RTE-PM05-SLO-41,101-12.5/13.3,54.9/55.7
Award Date10/23/2020
Closeout Date10/20/2022
Work DescriptionREMOVE GUARDRAIL AND INSTALL CONCRETE MEDIAN BARRIER.
Location DescriptionSAN LUIS OBISPO COUNTY IN ATASCADERO ON ROUTE 41 FROM OLD MORRO ROAD TO ATASCADERO CREEK BRIDGE NO. 49-0051 AND IN PASO ROBLES ON ROUTE 101 FROM 0.8 MILE NORTH OF ROUTE 101/46 SEPARATION TO SOUTH PASO ROBLES OVERHEAD
QA Service Level1 (Verified on 09/03/2020)

Owner Lab

  • CT D05 - Whitley Gardens Field Laboratory

Sample Information

Sample Taken Date02/23/2022 Sample Unique Key11
Date that the sample was received by the laboratory/organization performing the testing02/24/2022 Sample typeDepartment Acceptance
A brief description of the samplePCC 101 barrier The quantity of what the sample constitutes6 CY
From where was the sample collectedManufacturer First name of sampler or witnessed byBrandon
Last name of sampler or witnessed byWood Title of samplerTET
Telephone number of sampler Laboratory sample identification20220223
Linked DIME Sample ID The fabricator/manufacturer/facility nameCalPortland
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) Form
Structure unique identifier Structure name101 Barrier Project
Bid ItemNot set

Material Information

Material TypeConcrete The concrete mix design number590RN1010
The truck number from where the sample was collected4007 The batch plant ticket number from where the sample was collected1730656
Concrete batch plantCal Portland The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedBack of truck chute Where the material sample would have been placed if not sampled
From Lot No. Bag Lot No.

Submitted Tests

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