Sample Record
Owner Lab
- CT D05 - Whitley Gardens Field Laboratory
DIME Sample ID 2023-05-12-81
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 212246 DEA: 053307A4 EFIS: 0514000027 |
|---|---|
| DIST-CO-RTE-PM | 05-SLO-46-49.7/54.6 |
| Award Date | 02/16/2022 |
| Closeout Date | 09/02/2025 |
| Work Description | Cholame Segment |
| Location Description | Not set |
| QA Service Level | 1 (Verified on 09/30/2019) |
Sample Information
| Sample Taken Date | 05/12/2023 | Sample Unique Key | 81 |
|---|---|---|---|
| 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 | 05/13/2023 |
| Sample type | Quality Assurance | A brief description of the sample | 3 4x8 Concrete Cylinders |
| The quantity of what the sample constitutes | DS-22/32 Inlet Wingwall | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Tim | Last name of sampler or witnessed by | Stover |
| Title of sampler | ASR | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Calportland | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | DS-22/32 Inlet Wingwalls | Bid Item | Not set |
Material Information
| Material Type | Concrete | The concrete mix design number | 710RN2010 |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | NA | |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | Mix Truck | 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: 2023-05-12-81-1 CTM 521-June 2020 (Verified)
DIME Test ID: 2023-05-12-81-2 CTM 521-June 2020 (Verified)
| File Name | Extension | Date Uploaded | Test ID | Actions |
|---|---|---|---|---|
| 05-3307A4_CTM 521_KEE_230609_DS22-32_28 Day_3x_1 | 06/09/2023 | 2023-05-12-81-2 | Info |