Sample Record
Owner Lab
- CT D05 - Santa Maria Field Laboratory
DIME Sample ID 2022-12-08-4
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Project Information
| Project Identifiers | Project ID: 214993 DEA: 051F5004 EFIS: 0514000003 |
|---|---|
| DIST-CO-RTE-PM | 05-SB-101,135-70.6/71.2;0.1 |
| Award Date | 11/17/2020 |
| Closeout Date | 01/11/2024 |
| Work Description | CONSTRUCT CONCRETE BRIDGE, BRIDGE REMOVAL, COLD PLANE, PLACE HMA. |
| Location Description | SANTA BARBARA COUNTY AT LOS ALAMOS ON ROUTE 101 FROM 0.3 MILE SOUTH TO 0.3 MILE NORTH OF ROUTE 101/135 SEPARATION AND ON ROUTE 135 AT ROUTE 101/135 SEPARATION |
| QA Service Level | 1 (Verified on 09/03/2020) |
Sample Information
| Sample Taken Date | 12/08/2022 | Sample Unique Key | 4 |
|---|---|---|---|
| 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 | 12/08/2022 |
| Sample type | Quality Assurance | A brief description of the sample | Washed 1 x #4 Crushed Rock |
| The quantity of what the sample constitutes | 300 cu yds | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Isaac | Last name of sampler or witnessed by | Gleffe |
| Title of sampler | ARET | Telephone number of sampler | 18053191237 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Calportland/Donaven | 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) | 91-40-0013 |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | 1 x 4 crushed | The fabricator/manufacturer designation for the sample | |
| The plant number | A detailed description of where the material sample was collected | Calportland Donaven stockpile | |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 1 inch | |
| The concrete mix design number | 675RHS1260 | 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: 2022-12-08-4-1 CTM 202-November 2011 (Verified)
| File Name | Extension | Date Uploaded | Test ID | Actions |
|---|---|---|---|---|
| 05-1F5004_PCC Worksheet_675RHS1260_221208A | 12/08/2022 | 2022-12-08-4-1 | Info |
DIME Test ID: 2022-12-08-4-2 CTM 227-December 2014 (Verified)