Sample Record

Owner Lab

  • CT HQ - Sacramento Concrete Testing Laboratory

DIME Sample ID 2014-09-04-8

Project Information

Project IdentifiersProject ID: 209065
DEA: 050G0704
EFIS: 0500000055
DIST-CO-RTE-PM05-SB-101-22.3/23.0
Award Date11/21/2013
Closeout Date02/01/2018
Work DescriptionUPGRADE DRAINAGE CULVERTS
Location DescriptionSANTA BARBARA COUNTY IN GOLETA FROM 0.2 MILE EAST TO 0.7 MILE WEST OF FAIRVIEW AVENUE OVERCROSSING
QA Service Level1 (Verified on 03/03/2014)

Sample Information

Sample Taken Date09/04/2014 Sample Unique Key8
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 testing09/04/2014
Sample typeAnnual Source Testing A brief description of the sampleInch and Half X four
The quantity of what the sample constitutes1 bag From where was the sample collectedSource
First name of sampler or witnessed byThomas Last name of sampler or witnessed byStinnett
Title of samplerUnknown Telephone number of samplerUnknown
Laboratory sample identification14CPCC-0296 C760326 Linked DIME Sample ID0
The fabricator/manufacturer/facility nameVulcan Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeAggregate Source Identification (SMARA or name of Pit)91-19-0019
The fabricator's/manufacturer's product name for the sampleSanta Barbara The fabricator/manufacturer designation for the sampleUnknown
The plant numberUnknown A detailed description of where the material sample was collectedBelt C
Where the material sample would have been placed if not sampledUnknown Primary Aggregate Nominal Size
The concrete mix design number Lot numberNot set
Sublot numberNot set HMA Design ID

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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