Sample Record
Owner Lab
- CT D05 - Santa Maria Field Laboratory
DIME Sample ID 2023-04-07-25
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 215336 DEA: 051G9804 EFIS: 0516000009 |
|---|---|
| DIST-CO-RTE-PM | 05-SLO-1-10.0/16.8 |
| Award Date | 12/19/2022 |
| Closeout Date | Not set |
| Work Description | RHMA (GAP GRADED), RETAINING WALL, CURB RAMPS AND LIGHTING SYSTEMS. |
| Location Description | SAN LUIS OBISPO COUNTY FROM GRACIA WAY AT OCEANO TO ROUTE 1/101 SEPARATION IN PISMO BEACH. |
| QA Service Level | 1 (Verified on 11/18/2020) |
Sample Information
| Sample Taken Date | 04/07/2023 | Sample Unique Key | 25 |
|---|---|---|---|
| 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 | 04/07/2023 |
| Sample type | Quality Assurance | A brief description of the sample | Class 2 Aggregate Subbase |
| The quantity of what the sample constitutes | Material Stockpile | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Isaac | Last name of sampler or witnessed by | Gleffe |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | CalPortland Rocky Canyon | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | 91-40-0013 |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | The fabricator/manufacturer designation for the sample | ||
| The plant number | A detailed description of where the material sample was collected | Stockpile at the Plant | |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 3/4 inch | |
| The concrete mix design number | Lot number | ||
| Sublot number | Aggregate Mix Number |
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. | |||