Sample Record

Owner Lab

  • CT D05 - Santa Maria Field Laboratory

DIME Sample ID 2023-08-24-73

Project Information

Project IdentifiersProject ID: 994247
DEA: 051H8604
EFIS: 0517000002
DIST-CO-RTE-PM05-SB-101-46.2/R52.3
Award Date02/01/2023
Closeout DateNot set
Work DescriptionCOLD PLANE AC PVMT, PLACE HMA, RHMA-G, HMA-0, REPLACE MEDIAN BARRIER.
Location DescriptionSANTA BARBARA COUNTY NEAR GAVIOTA FROM 0.1 MILE NORTH OF GAVIOTA BEACH STATE PARK TO OLD COAST HIGHWAY
QA Service Level1 (Verified on 09/23/2022)

Sample Information

Sample Taken Date08/24/2023 Sample Unique Key73
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 testing08/24/2023
Sample typeQuality Assurance A brief description of the sample3/4" RHMA-G
The quantity of what the sample constitutesUp to 750 Tons From where was the sample collectedSupplier
First name of sampler or witnessed byIsaac Last name of sampler or witnessed byGleffe
Title of samplerARET Telephone number of sampler18053191237
Laboratory sample identification230824A Linked DIME Sample ID
The fabricator/manufacturer/facility nameCalportland-Garey Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form1 Structure unique identifier
Structure name

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)91-42-0014
The fabricator's/manufacturer's product name for the sample.75in coldfeed The fabricator/manufacturer designation for the sampleL1SL3
The plant numberCalportland Garey A detailed description of where the material sample was collectedBelt Discharge
Where the material sample would have been placed if not sampledHWY 1 Pismo Beach Primary Aggregate Nominal Size3/4 inch
The concrete mix design number Lot number1
Sublot number3 Aggregate Mix NumberD1215H530

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Test File Attachments