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 Identifiers | Project ID: 993868 DEA: 050C7324 EFIS: 0512000228 |
|---|---|
| DIST-CO-RTE-PM | 05-SCR-1-13.4/14.9 |
| Award Date | 10/14/2022 |
| Closeout Date | Not set |
| Work Description | CONSTRUCT PEDESTRIAN OVERCROSSING AND AUXILIARY LANE. |
| Location Description | SANTA 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 Level | 1 (Verified on 06/17/2022) |
Sample Information
| Sample Taken Date | 05/08/2024 | Sample Unique Key | 74 |
|---|---|---|---|
| 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 testing | 05/09/2024 |
| Sample type | Quality Assurance | A brief description of the sample | Type II/V Cement |
| The quantity of what the sample constitutes | 16 CY | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Emanuel | Last name of sampler or witnessed by | Valdez-Rico |
| Title of sampler | Assistant SR | Telephone number of sampler | 805-721-0156 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Las Animas Concrete | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | RW "N" Curb and Pilaster | Bid Item | Not set |
Material Information
| Material Type | Concrete | The concrete mix design number | C2S30 |
|---|---|---|---|
| The truck number from where the sample was collected | 123 | The batch plant ticket number from where the sample was collected | 381110 |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | Discharge from concrete truck into wheelbarrow | Where the material sample would have been placed if not sampled | curb and pilaster |
| From Lot No. | Bag Lot No. |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Date Added | Verified? | Release Date | Test Comments | Privacy Level | Actions |
|---|---|---|---|---|---|---|---|---|---|
| 2024-05-08-74-1 | CTM 556-January 2018: Method of Test for Slump of Fresh Portland Cement Concrete | Emanuel Valdez-Rico, CT SC - 3675 - Monterey, Santa Cruz, San Benito | 05/08/2024 | 06/04/2024 | No |
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2024-05-08-74-1 CTM 556-January 2018
