Sample Record
Owner Labs
- CT D05 - Monterey Construction Field Laboratory
- CT D05 - Prunedale Field Laboratory
DIME Sample ID 2023-08-16-49
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 215018 DEA: 051J4804 EFIS: 0517000185 |
|---|---|
| DIST-CO-RTE-PM | 05-SBT-25,156-54.048 |
| Award Date | 11/18/2021 |
| Closeout Date | 07/31/2024 |
| Work Description | SAN BENITO HIGHWAY 25 AT 156 ROUNDABOUT - SAFETY IMPROVEMENTS |
| Location Description | SAN BENITO COUNTY NEAR HOLLISTER ON ROUTE 25 FROM 0.4 MILE EAST TO 0.3 MILE WEST OF ROUTE 156 AND ON ROUTE 156 FROM 0.4 MILE SOUTH TO 0.3 MILE NORTH OF ROUTE 25 |
| QA Service Level | 1 (Verified on 09/03/2020) |
Sample Information
| Sample Taken Date | 08/16/2023 | Sample Unique Key | 49 |
|---|---|---|---|
| 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 testing | 08/21/2023 |
| Sample type | Quality Assurance | A brief description of the sample | 4x8 concrete cylinders |
| The quantity of what the sample constitutes | 6x 4x8 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Carson | Last name of sampler or witnessed by | Sperber |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Don Chapin | Transportation Laboratory (TL) Number | 213686 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Concrete | The concrete mix design number | CA6751 |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 0983 | |
| Concrete batch plant | 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 | |
| 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. | |||