*Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.

Sample Record for 2020-02-14-29


Project Information

Project ID: 214520 DEA: 051H9804 EFIS: 0517000043 QA Service Level: 1
DIST-CO-RTE-PM: 05-SB-101-78.4/79.0
Work Description: ROADWAY EXCAVATION, PLACE AGGREGATE BASE, HMA AND RHMA-G.
Location Description: SANTA BARBARA COUNTY NEAR SANTA MARIA FROM 0.3 MILE SOUTH TO 0.3 MILE NORTH OF SOLOMON SUMMIT UNDERCROSSING
Contractor Name: Calportland Construction Contractor Address: 1625 E DONOVAN RD
Resident Engineer: Lilian (Poh Chu) Bennetzen Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2020-02-14-29
TL Number from the TL Form:
Sample Submitted By Organization: CalPortland
Sample Organization Contact: (805) 345-3472
Type of Sample: Quality Control
Type of Material: Antistrip Additive
Sample Taken Date: 02/14/2020
Date that the sample was received by the laboratory/organization performing the testing:
The quantity of what the sample constitutes: 1 Quart Can
A brief description of the sample: Hydrated Lime
From where was the sample collected: Other
Laboratory sample identification:
Structure unique identifier:
Structure name:

Material Information

Antistrip Type: Lime - hydrated lime