Sample Record

Owner Lab

  • SCST, LLC

DIME Sample ID 2020-07-27-38

Project Information

Project IdentifiersProject ID: 211848
DEA: 112T2174
EFIS: 1116000131
DIST-CO-RTE-PM11-SD-5-R37.4 - R46.5
Award Date12/22/2016
Closeout DateNot set
Work Description(Alternative Delivery) CMGC, San Elijo Highway Bridge Replacement. Replace the San Elijo lagoon highway bridge, construct HOV lanes, construct bike and pedestrian trails and bridge, build multi-use facility at Manchester Ave.
Location DescriptionIN SAN DIEGO COUNTY IN SOLANA BEACH AND ENCINITAS FROM 0.1 MILE NORTH OF LOMAS SANTA FE DRIVE OVERCROSSING TO 0.2 MILE SOUTH OF BIRMINGHAM DRIVE OVERCROSSING
QA Service Level1 (Verified on 01/31/2017)

Sample Information

Sample Taken Date07/27/2020 Sample Unique Key38
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 testing07/27/2020
Sample typeAggregate Prequalification Program A brief description of the sample1"
The quantity of what the sample constitutes5000 tons From where was the sample collectedManufacturer
First name of sampler or witnessed byMario Last name of sampler or witnessed bySalazar
Title of samplerQC Tech Telephone number of sampler
Laboratory sample identification56011 Linked DIME Sample ID
The fabricator/manufacturer/facility nameRobertsons Rialto 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, name of Pit or Job Site)91-36-0146
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 collectedConveyor Belt
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size1 inch
The concrete mix design number Lot number
Sublot number Aggregate Mix NumberNot set

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Sample File Attachments

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Test File Attachments