Sample Record

Owner Labs

  • CT D05 - Santa Cruz Field Laboratory
  • CT SC - 3675 - Monterey, Santa Cruz, San Benito

DIME Sample ID 2024-05-08-74

Project Information

Project IdentifiersProject ID: 993868
DEA: 050C7324
EFIS: 0512000228
DIST-CO-RTE-PM05-SCR-1-13.4/14.9
Award Date10/14/2022
Closeout DateNot set
Work DescriptionCONSTRUCT PEDESTRIAN OVERCROSSING AND AUXILIARY LANE.
Location DescriptionSANTA CRUZ COUNTY IN AND NEAR CITY OF CAPITOLA FROM 0.2 MILE SOUTH OF 41ST AVENUE OVERCROSSING TO 0.2 MILE NORTH OF SOQUEL DRIVE OVERCROSSING
QA Service Level1 (Verified on 06/17/2022)

Sample Information

Sample Taken Date05/08/2024 Sample Unique Key74
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 testing05/09/2024
Sample typeQuality Assurance A brief description of the sampleType II/V Cement
The quantity of what the sample constitutes16 CY From where was the sample collectedJob Site
First name of sampler or witnessed byEmanuel Last name of sampler or witnessed byValdez-Rico
Title of samplerAssistant SR Telephone number of sampler805-721-0156
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameLas Animas Concrete Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure nameRW "N" Curb and Pilaster Bid ItemNot set

Material Information

Material TypeConcrete The concrete mix design numberC2S30
The truck number from where the sample was collected123 The batch plant ticket number from where the sample was collected381110
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedDischarge from concrete truck into wheelbarrow Where the material sample would have been placed if not sampledcurb and pilaster
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
2024-05-08-74-1CTM 556-January 2018: Method of Test for Slump of Fresh Portland Cement ConcreteEmanuel Valdez-Rico, CT SC - 3675 - Monterey, Santa Cruz, San Benito05/08/202406/04/2024
No

Sample File Attachments

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Test File Attachments


DIME Test ID: 2024-05-08-74-1 CTM 556-January 2018