Sample Record

Owner Lab

  • CT SC - 3675 - Monterey, Santa Cruz, San Benito

DIME Sample ID 2024-08-15-30

Project Information

Project IdentifiersProject ID: 1000409
DEA: 051S1604
EFIS: 0524000176
DIST-CO-RTE-PM05-MON-1-60
Award DateNot set
Closeout DateNot set
Work DescriptionRocky Creek Slip Out Permanent Restoration Project
Location DescriptionNot set
QA Service Level1 (Verified on 06/26/2024)

Sample Information

Sample Taken Date08/15/2024 Sample Unique Key30
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 testing08/16/2024
Sample typeQuality Assurance A brief description of the sampleCIDH wet pile
The quantity of what the sample constitutes5 CY From where was the sample collectedSource
First name of sampler or witnessed byEmanuel Last name of sampler or witnessed byRico
Title of samplerAssistant SR Telephone number of sampler805-721-0156
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameGranite Rock Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name Bid ItemNot set

Material Information

Material TypeConcrete The concrete mix design number07S802
The truck number from where the sample was collectedLoad 1 The batch plant ticket number from where the sample was collected198484
Concrete batch plantGraniterock Sand City Batch The fabricator/manufacturer designation for the sampleTrial Batch
A detailed description of where the material sample was collectedConcrete from wheelbarrow Where the material sample would have been placed if not sampledCIDH Wet Hole Piles
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
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Sample File Attachments

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