Sample Record
Owner Lab
- CT D05 - San Luis Obispo District Laboratory
DIME Sample ID 2020-02-24-27
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Project Information
| Project Identifiers | Project ID: 213835 DEA: 051F7404 EFIS: 0514000049 |
|---|---|
| DIST-CO-RTE-PM | 05-MON-101-R28.0/R30.6 |
| Award Date | 04/03/2019 |
| Closeout Date | 08/23/2021 |
| Work Description | PLACE CONTINUOUSLY REINFORCED CONCRETE PAVEMENT ON EXISTING ROADWAY. |
| Location Description | MONTEREY COUNTY NEAR SAN LUCAS FROM 0.1 MILE SOUTH OF PARIS VALLEY ROAD OVERCROSSING TO RANCHO UNDERCROSSING |
| QA Service Level | 1 (Verified on 02/18/2019) |
Sample Information
| Sample Taken Date | 02/24/2020 | Sample Unique Key | 27 |
|---|---|---|---|
| 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 | 02/26/2020 |
| Sample type | Acceptance | A brief description of the sample | Class I ASB from Crusher |
| The quantity of what the sample constitutes | 2 bags | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Brandon | Last name of sampler or witnessed by | Wood |
| Title of sampler | Field Technician | Telephone number of sampler | |
| Laboratory sample identification | D5 20-C-003 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Papich | Transportation Laboratory (TL) Number | |
| 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) | Unknown |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | Unknown | The fabricator/manufacturer designation for the sample | Unknown |
| The plant number | Unknown | A detailed description of where the material sample was collected | Jobsite Crusher |
| Where the material sample would have been placed if not sampled | Unknown | Primary Aggregate Nominal Size | 1 inch |
| The concrete mix design number | Unknown | Lot number | Unknown |
| Sublot number | Unknown | Aggregate Mix Number | Not set |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2020-02-24-27-1 CTM 301-March 2000 (Verified)