Sample Record
Owner Lab
- CT D05 - Whitley Gardens Field Laboratory
DIME Sample ID 2022-11-04-20
Sample Details QR Code
Scan this code to open this Sample Details view on another device.
Sample is locked from editing. info
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 | 11/04/2022 | Sample Unique Key | 20 |
|---|---|---|---|
| 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 | 11/08/2022 |
| Sample type | Quality Assurance | A brief description of the sample | Structure Backfill Geo Grid Grad/SE |
| The quantity of what the sample constitutes | 1 days placement | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Brandon | Last name of sampler or witnessed by | Wood |
| Title of sampler | TET | Telephone number of sampler | 805-610-2729 |
| Laboratory sample identification | 37066sbfill1grad | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Sierra Pacific - Avenal | 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) | 91-10-0006 |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | The fabricator/manufacturer designation for the sample | 47GSBF | |
| The plant number | A detailed description of where the material sample was collected | Jobsite Stockpile | |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 1 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: 2022-11-04-20-1 CTM 202-November 2011 (Verified)
| File Name | Extension | Date Uploaded | Test ID | Actions |
|---|---|---|---|---|
| 05-3307A4_37066._221104_BLW_SBfillGeo_Grad_1 | 11/08/2022 | 2022-11-04-20-1 | Info |
DIME Test ID: 2022-11-04-20-2 CTM 217-June 2011 (Verified)