Sample Record

Owner Lab

  • CalPortland

DIME Sample ID 2020-03-20-14

Project Information

Project IdentifiersProject ID: 214253
DEA: 051J0404
EFIS: 0517000054
DIST-CO-RTE-PM05-SLO,MON-46,101-49.5,R3.1/R5.2
Award Date11/01/2019
Closeout Date09/25/2020
Work DescriptionINSTALL ELECTRIC VEHICLE CHARGING STATIONS.
Location DescriptionSAN LUIS OBISPO AND MONTEREY COUNTIES ON ROUTE 46 AT SHANDON SAFETY ROADSIDE REST AREA AND ON ROUTE 101 AT CAMP ROBERTS SAFETY ROADSIDE REST AREAS
QA Service Level1 (Verified on 09/06/2019)

Sample Information

Sample Taken Date03/20/2020 Sample Unique Key14
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 testing03/20/2020
Sample typeQuality Control A brief description of the sampleBin 1
The quantity of what the sample constitutes6 Bags From where was the sample collectedSource
First name of sampler or witnessed byDaniel Last name of sampler or witnessed byOrtega
Title of sampler Telephone number of sampler8053453425
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameCalPortland Paso Robles Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAggregate Source Identification (SMARA or name of Pit)91-40-0013::ROCKY CANYON
The fabricator's/manufacturer's product name for the sampleUnknown The fabricator/manufacturer designation for the sampleUnknown
The plant numberUnknown A detailed description of where the material sample was collectedStockpile @ Plant
Where the material sample would have been placed if not sampledUnknown Primary Aggregate Nominal Sizefine
The concrete mix design numberUnknown Lot numberUnknown
Sublot numberUnknown HMA Design ID JMF3512-2020-185-G2383F515

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2020-03-20-14-1AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)Ryan DeverauxCalPortland03/30/2020Daniel Ortega
No
Info