Sample Record
Owner Lab
- CT D05 - Paso Robles Field Laboratory
DIME Sample ID 2025-03-03-5
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 215038 DEA: 051J7804 EFIS: 0518000052 |
|---|---|
| DIST-CO-RTE-PM | 05-SLO-101-61.88/61.88 |
| Award Date | 10/22/2024 |
| Closeout Date | Not set |
| Work Description | SAFETY IMPROVEMENTS |
| Location Description | WELLSONA SAFETY IMPROVEMENTS, SLO 101 |
| QA Service Level | 1 (Verified on 09/03/2020) |
Sample Information
| Sample Taken Date | 03/03/2025 | Sample Unique Key | 5 |
|---|---|---|---|
| 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 | 03/03/2025 |
| Sample type | Quality Assurance | A brief description of the sample | 3/4" Class II Base |
| The quantity of what the sample constitutes | 500cy | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Isaac | Last name of sampler or witnessed by | Chezem |
| Title of sampler | TET | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | CalPortland | Transportation Laboratory (TL) Number | 417 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | 91-40-0013 |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | The fabricator/manufacturer designation for the sample | ||
| The plant number | A detailed description of where the material sample was collected | Roadway | |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 3/4 inch | |
| The concrete mix design number | Lot number | ||
| Sublot number | Aggregate Mix Number |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2025-03-03-5-1 CTM 202-November 2011 (Verified)
| File Name | Extension | Date Uploaded | Test ID | Actions |
|---|---|---|---|---|
| 05-1J7804_37000_250303_ACK_ClassIIAgreagateBase | 03/07/2025 | 2025-03-03-5-1 | Info |
DIME Test ID: 2025-03-03-5-2 CTM 217-June 2011 (Verified)
DIME Test ID: 2025-03-03-5-3 CTM 202-November 2011 (Verified)