Sample Record
Owner Lab
- CT D05 - Whitley Gardens Field Laboratory
DIME Sample ID 2022-10-13-2
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 212246 DEA: 053307A4 EFIS: 0514000027 |
|---|---|
| DIST-CO-RTE-PM | 05-SLO-46-49.7/54.6 |
| Award Date | 02/16/2022 |
| Closeout Date | 09/02/2025 |
| Work Description | Cholame Segment |
| Location Description | Not set |
| QA Service Level | 1 (Verified on 09/30/2019) |
Sample Information
| Sample Taken Date | 10/13/2022 | Sample Unique Key | 2 |
|---|---|---|---|
| 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 | 10/13/2022 |
| Sample type | Quality Assurance | A brief description of the sample | Bridge Deck Pour |
| The quantity of what the sample constitutes | CCB Bridge Deck | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Kyle | Last name of sampler or witnessed by | Engen |
| Title of sampler | TET | Telephone number of sampler | 805-540-9933 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | CalPortland Paso Robles | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | CCB Bridge Deck | Bid Item | Not set |
Material Information
| Material Type | Concrete | The concrete mix design number | 800RHS2260 |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | Unknown | |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | Sample was collected from middle of concrete batch for truck | Where the material sample would have been placed if not sampled | |
| From Lot No. | Bag Lot No. |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2022-10-13-2-1 CTM 521-June 2020 (Verified)
| File Name | Extension | Date Uploaded | Test ID | Actions |
|---|---|---|---|---|
| 05-3307A4_CTM 521_KEE_221013_CCB Deck_42 Day_3x_1 | 10/13/2022 | 2022-10-13-2-1 | Info |