Sample Record

Owner Lab

  • CT D05 - Monterey Construction Field Laboratory

DIME Sample ID 2023-08-03-1

Project Information

Project IdentifiersProject ID: 214627
DEA: 05344904
EFIS: 0500000505
DIST-CO-RTE-PM05-SBT-156-3/R8.2
Award Date05/19/2022
Closeout DateNot set
Work DescriptionSAN BENITO ROUTE 156 IMPROVEMENT PROJECT SAN BENITO RTE 156 IMPROVEMENT PROJECT; INCLUDES NEW BRIDGE AND WIDENING OF EXISTING BRIDGE.
Location DescriptionSAN BENITO COUNTY IN AND NEAR SAN JUAN BAUTISTA FROM THE ALAMEDA TO 0.2 MILE EAST OF FOURTH STREET/BUSINESS ROUTE 156
QA Service Level1 (Verified on 01/14/2020)

Sample Information

Sample Taken Date08/03/2023 Sample Unique Key1
Will the laboratory/organization for which you are a member perform testing on this material sample?No Date that the sample was received by the laboratory/organization performing the testing08/04/2023
Sample typeQuality Assurance A brief description of the sampleConcrete Test Samples
The quantity of what the sample constitutes2x 6x12 cylinders From where was the sample collectedJob Site
First name of sampler or witnessed byCarson Last name of sampler or witnessed bySperber
Title of samplerASR Telephone number of sampler8054589613
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameDon Chapin Hollister Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure nameRetaining Wall Bid ItemNot set

Material Information

Material TypeConcrete The concrete mix design numberCAS590P
The truck number from where the sample was collected The batch plant ticket number from where the sample was collectedNA
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedNA Where the material sample would have been placed if not sampled
From Lot No. Bag Lot No.

Submitted Tests

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