Sample Record
Owner Lab
- CT D05 - San Luis Obispo District Laboratory
DIME Sample ID 2020-07-30-18
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Project Information
| Project Identifiers | Project ID: 214605 DEA: 051K7904 EFIS: 0519000026 |
|---|---|
| DIST-CO-RTE-PM | 05-SB-166-R51.1/55.0 |
| Award Date | 02/26/2020 |
| Closeout Date | 08/23/2021 |
| Work Description | COLD IN-PLACE RECYCLING AND RHMA OVERLAY. |
| Location Description | SANTA BARBARA COUNTY ABOUT 10 MILES WEST OF NEW CUYAMA FROM CUYAMA RIVER BRIDGE TO 3.1 MILES EAST OF COTTONWOOD CANYON ROAD |
| QA Service Level | 1 (Verified on 04/08/2020) |
Sample Information
| Sample Taken Date | 07/30/2020 | Sample Unique Key | 18 |
|---|---|---|---|
| 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 | 08/03/2020 |
| Sample type | Acceptance | A brief description of the sample | Shoulder Backing |
| The quantity of what the sample constitutes | Unknown | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Sal | Last name of sampler or witnessed by | Lopez |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | D5 20-C-020 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | CalPortland Rocky Canyon | 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) | 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 | At the Plant | |
| 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 | Not set |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2020-07-30-18-1 CTM 217-June 2011 (Verified)
DIME Test ID: 2020-07-30-18-2 CTM 205-December 2010 (Verified)
DIME Test ID: 2020-07-30-18-3 CTM 229-June 2011 (Verified)
DIME Test ID: 2020-07-30-18-4 CTM 212-May 2010 (Verified)
DIME Test ID: 2020-07-30-18-5 CTM 202-November 2011 (Verified)