Sample Record
Owner Lab
- CT HQ - Sacramento Concrete Testing Laboratory
DIME Sample ID 2015-11-13-6
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Project Information
| Project Identifiers | Project ID: 210217 DEA: 051A7204 EFIS: 0512000012 |
|---|---|
| DIST-CO-RTE-PM | 05-SB-101-21.0/27.1 |
| Award Date | 05/12/2015 |
| Closeout Date | 02/01/2018 |
| Work Description | COLD PLANE AND OVERLAY EXISTING ROADBED WITH RHMA-G. |
| Location Description | SANTA BARBARA COUNTY IN AND NEAR GOLETA FROM MARIA YGNACIO CREEK BRIDGE TO 0.2 MILE NORTH OF CATHEDRAL OAKS OVERCROSSING |
| QA Service Level | 1 (Verified on 06/15/2015) |
Sample Information
| Sample Taken Date | 11/13/2015 | Sample Unique Key | 6 |
|---|---|---|---|
| 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 | 12/21/2015 |
| Sample type | Department Acceptance | A brief description of the sample | 1/2 |
| The quantity of what the sample constitutes | 1 bag | From where was the sample collected | Source |
| First name of sampler or witnessed by | DH | Last name of sampler or witnessed by | Ramirez |
| Title of sampler | Unknown | Telephone number of sampler | Unknown |
| Laboratory sample identification | 15CPCC-0458 | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | Cal Portland Garey Plant | Transportation Laboratory (TL) Number | C755396 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | Not set |
| Structure name | Not set |
Material Information
| Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | 91-42-0014 |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | Unknown | The fabricator/manufacturer designation for the sample | Unknown |
| The plant number | Unknown | A detailed description of where the material sample was collected | Stockpile |
| Where the material sample would have been placed if not sampled | Unknown | Primary Aggregate Nominal Size | |
| The concrete mix design number | Lot number | Not set | |
| Sublot number | Not set | Aggregate Mix Number | Not set |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2015-11-13-6-1 CTM 214-August 2010 (Verified)