Sample Record
Owner Lab
- CT D05 - Carpinteria Field Laboratory
DIME Sample ID 2022-11-04-50
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 994087 DEA: 051G4104 EFIS: 0515000012 |
|---|---|
| DIST-CO-RTE-PM | 05-SB-101-4.0/4.8 |
| Award Date | 09/02/2022 |
| Closeout Date | 08/12/2024 |
| Work Description | Santa Claus Lane Bike Path - !!Charge time to 05-0N72U4 per Project Manager / Corridor Manager!! |
| Location Description | !!Charge time to 05-0N72U4 per Project Manager / Corridor Manager!! |
| QA Service Level | 1 (Verified on 07/25/2022) |
Sample Information
| Sample Taken Date | 11/04/2022 | Sample Unique Key | 50 |
|---|---|---|---|
| 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 | 12/16/2022 |
| Sample type | Quality Assurance | A brief description of the sample | 4x8 concrete cylinders |
| The quantity of what the sample constitutes | 50 CY | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Dorell | Last name of sampler or witnessed by | Harper |
| Title of sampler | Telephone number of sampler | 6692889248 | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Martin Marietta Goleta | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Concrete | The concrete mix design number | 545A100P |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 343 | |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | Discharge from concrete truck into wheelbarrow. | 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: 2022-11-04-50-1 CTM 521-June 2020 (Verified)