Sample Record

DIME Sample ID 2022-11-05-3

Project Information

Project IdentifiersProject ID: 215129
DEA: 050N73U4
EFIS: 0520000166
DIST-CO-RTE-PM05-SB-101-7.3/9.6
Award Date10/22/2020
Closeout Date12/11/2023
Work Description!!Please CC Office Engineer Gabrielle Herrera on reports to RE and SR!! Segment 4C - Summerland: Construct HOV lanes and rehabilitation. Source inspection of sign structure trusses, lighting structures, steel soldier piles, epoxy coated rebar,
Location DescriptionSUMMERLAND FROM 0.2 MILES NORTH OF PARDARO LANE OVERCROSSING TO SAN YSIDRO CREEK BRIDGE
QA Service Level1 (Verified on 08/24/2020)

Owner Lab

  • TRC Companies

Sample Information

Sample Taken Date11/05/2022 Sample Unique Key3
Date that the sample was received by the laboratory/organization performing the testing11/07/2022 Sample typeQuality Assurance
A brief description of the samplePCC Aggregates The quantity of what the sample constitutes230 Yards
From where was the sample collectedFabricator First name of sampler or witnessed byDarren
Last name of sampler or witnessed byLaChaine Title of sampler
Telephone number of sampler8056213616 Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameMartin Marietta Goleta
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)91-42-0003
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 collectedConveyor Belt
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size1 inch
The concrete mix design number63511N0P Lot number
Sublot number Aggregate Mix Number

Submitted Tests

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