Sample Record

DIME Sample ID 2023-10-24-111

Project Information

Project IdentifiersProject ID: 994245
DEA: 051H4304
EFIS: 0516000073
DIST-CO-RTE-PM05-SB-101-21.4/21.9
Award Date03/02/2023
Closeout DateNot set
Work DescriptionSan Jose Creek Bridge replacement
Location DescriptionSANTA BARBARA COUNTY IN GOLETA FROM ROUTE 101/217 SEPARATION TO 0.3 MILE NORTH OF SAN JOSE CREEK BRIDGE
QA Service Level1 (Verified on 09/19/2022)

Owner Lab

  • MCM Construction, Incorporated

Sample Information

Sample Taken Date10/24/2023 Sample Unique Key111
Date that the sample was received by the laboratory/organization performing the testing10/25/2023 Sample typeQuality Control
A brief description of the sampleCIDH concrete The quantity of what the sample constitutes18 CY
From where was the sample collectedJob Site First name of sampler or witnessed byPeter
Last name of sampler or witnessed byKim Title of sampler
Telephone number of sampler Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameCEMEX
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) Form
Structure unique identifier Structure nameSan Jose Creek Bridge (NB)
Bid ItemNot set

Material Information

Material TypeConcrete The concrete mix design number1610898
The truck number from where the sample was collected The batch plant ticket number from where the sample was collected30985838
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedConcrete pump hopper Where the material sample would have been placed if not sampled
From Lot No. Bag Lot No.

Submitted Tests

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