Sample Record
Owner Labs
- CT D05 - Monterey Construction Field Laboratory
- CT D05 - Santa Cruz Field Laboratory
DIME Sample ID 2023-02-17-16
Project Information
| Project Identifiers | Project ID: 994486 DEA: 051Q0804 EFIS: 0522000148 |
|---|---|
| DIST-CO-RTE-PM | 05-SCR,SCR/SCR-9,1-17.41/17.5 |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | Repair of viaduct barrier wall and replace CIDH piles. Holiday Lane Viaduct Slipout. State Route 9 at PM SCR-09-8.4 Jay's Slide, and SR 236 (SCR-236-16.87) |
| Location Description | Santa Cruz County. State Route 9 at PM SCR-09-8.4 and SR 236 (SCR-236-16.87) |
| QA Service Level | 1 (Verified on 02/13/2023) |
Sample Information
| Sample Taken Date | 02/17/2023 | Sample Unique Key | 16 |
|---|---|---|---|
| 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 | 02/21/2023 |
| Sample type | Quality Assurance | A brief description of the sample | CIDH Wet Hole PCC |
| The quantity of what the sample constitutes | 10 Cy | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Joseph | Last name of sampler or witnessed by | Esteybar |
| Title of sampler | ASR | Telephone number of sampler | 2094708827 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Las Animas Concrete | 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 | 713W25S |
|---|---|---|---|
| The truck number from where the sample was collected | 111 | The batch plant ticket number from where the sample was collected | 366216 |
| Concrete batch plant | Las Animas Concrete | The fabricator/manufacturer designation for the sample | |
| A detailed description of where the material sample was collected | Concrete sample from 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: 2023-02-17-16-3 ASTM C143-20 (Verified)
DIME Test ID: 2023-02-17-16-4 ASTM C1064-17 (Verified)
DIME Test ID: 2023-02-17-16-5 ASTM C143-10a (Verified)
DIME Test ID: 2023-02-17-16-6 ASTM C1064-17 (Verified)
