Sample Record
Owner Lab
- CT D05 - Carpinteria Field Laboratory
DIME Sample ID 2022-12-22-53
Project Information
| Project Identifiers | Project ID: 215129 DEA: 050N73U4 EFIS: 0520000166 |
|---|---|
| DIST-CO-RTE-PM | 05-SB-101-7.3/9.6 |
| Award Date | 10/22/2020 |
| Closeout Date | 12/11/2023 |
| 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 Description | SUMMERLAND FROM 0.2 MILES NORTH OF PARDARO LANE OVERCROSSING TO SAN YSIDRO CREEK BRIDGE |
| QA Service Level | 1 (Verified on 08/24/2020) |
Sample Information
| Sample Taken Date | 12/22/2022 | Sample Unique Key | 53 |
|---|---|---|---|
| Date that the sample was received by the laboratory/organization performing the testing | 01/19/2023 | Sample type | Quality Assurance |
| A brief description of the sample | concrete | The quantity of what the sample constitutes | 12 Cy |
| From where was the sample collected | Job Site | First name of sampler or witnessed by | Jesse |
| Last name of sampler or witnessed by | Gomez | Title of sampler | |
| Telephone number of sampler | 8055501704 | 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 | ||
| Bid Item | Not set |
Material Information
| Material Type | Concrete | The concrete mix design number | 725A1Z0P |
|---|---|---|---|
| The truck number from where the sample was collected | 43 | The batch plant ticket number from where the sample was collected | 3432595 |
| 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: 2022-12-22-53-1 ASTM C143-15a (Verified)
