Sample Record
Owner Labs
- CT D05 - Monterey Construction Field Laboratory
- CT D05 - Santa Cruz Field Laboratory
DIME Sample ID 2023-02-22-14
Sample Details QR Code
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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 | 02/22/2023 | Sample Unique Key | 14 |
|---|---|---|---|
| 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 | 02/23/2023 |
| Sample type | Quality Assurance | A brief description of the sample | Concrete Cylinders 4x8 |
| The quantity of what the sample constitutes | 40 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 |
Material Information
| Material Type | Concrete | The concrete mix design number | C1S50 |
|---|---|---|---|
| The truck number from where the sample was collected | 114 | The batch plant ticket number from where the sample was collected | 366320 |
| Concrete batch plant | Las Animas Concrete | The fabricator/manufacturer designation for the sample | |
| A detailed description of where the material sample was collected | Chute | Where the material sample would have been placed if not sampled | Pile Cap |
| From Lot No. | Bag Lot No. |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||