Sample Record

Owner Lab

  • CT D05 - Monterey Construction Field Laboratory

DIME Sample ID 2023-01-27-15

Project Information

Project IdentifiersProject ID: 993490
DEA: 051M4604
EFIS: 0519000154
DIST-CO-RTE-PM05-MON-1-44.5
Award Date03/02/2022
Closeout Date06/26/2023
Work DescriptionCONSTRUCT RETAINING WALL, WIDENING SHOULDER AND PLACE HMA. Highway 1 at Coastlands Rd Soldier Pile Wall.
Location DescriptionMONTEREY COUNTY NEAR BIG SUR AT 1.0 MILE SOUTH OF PFEIFFER CANYON BRIDGE
QA Service Level1 (Verified on 01/19/2022)

Sample Information

Sample Taken Date01/27/2023 Sample Unique Key15
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 testing01/31/2023
Sample typeQuality Assurance A brief description of the sampleConcrete Samples
The quantity of what the sample constitutes3-4x8 From where was the sample collectedJob Site
First name of sampler or witnessed byCarson Last name of sampler or witnessed bySperber
Title of samplerASR Telephone number of sampler8054589613
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameGranite Rock Transportation Laboratory (TL) Number213675
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure nameCoastlands Wall 1

Material Information

Material TypeConcrete The concrete mix design number572590R
The truck number from where the sample was collected2427 The batch plant ticket number from where the sample was collected185904
Concrete batch plantGR Sand City The fabricator/manufacturer designation for the sample341
A detailed description of where the material sample was collectedCHUTE FROM TRUCK Where the material sample would have been placed if not sampledCrash Cushion Pad
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Sample File Attachments

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Test File Attachments