Sample Record
Owner Lab
- CT D05 - Big Sur Field Laboratory
DIME Sample ID 2022-09-06-18
Project Information
| Project Identifiers | Project ID: 213598 DEA: 051F75U4 EFIS: 0518000092 |
|---|---|
| DIST-CO-RTE-PM | 05-MON-101-R36.9/47.7 |
| Award Date | 01/16/2019 |
| Closeout Date | 01/11/2024 |
| Work Description | CRCP, SEISMIC RETROFIT, BRIDGE WIDENING AND MEDIAN BARRIER |
| Location Description | MONTEREY COUNTY IN AND NEAR KING CITY FROM 0.4 MILE SOUTH OF WILD HORSE ROAD OVERCROSSING TO TEAGUE AVENUE |
| QA Service Level | 1 (Verified on 10/11/2018) |
Sample Information
| Sample Taken Date | 09/06/2022 | Sample Unique Key | 18 |
|---|---|---|---|
| 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 | 09/06/2022 |
| Sample type | Quality Assurance | A brief description of the sample | OHL - 1.5" LCB Aggs |
| The quantity of what the sample constitutes | 500 cy | From where was the sample collected | Source |
| First name of sampler or witnessed by | Salvador | Last name of sampler or witnessed by | Zepeda |
| Title of sampler | Contract Tester | Telephone number of sampler | 559-473-8770 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | OHL - Stockpile LCB | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Bid Item | Not set |
Material Information
| Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | n/a |
|---|---|---|---|
| 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 | Off the feed belt headed into the hopper. | |
| 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 | Not set |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2022-09-06-18-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2022-09-06-18-2 CTM 217-June 2011 (Verified)
