Sample Record
Owner Lab
- CT D05 - Santa Maria Field Laboratory
DIME Sample ID 2021-11-16-8
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Project Information
| Project Identifiers | Project ID: 214710 DEA: 051J4704 EFIS: 0517000184 |
|---|---|
| DIST-CO-RTE-PM | 05-SB-135-17.3/17.6 |
| Award Date | 05/27/2021 |
| Closeout Date | 08/17/2022 |
| Work Description | BUNNY AVENUE AND NORTH BROADWAY PED IMPROVEMENTS |
| Location Description | SANTA BARBARA COUNTY IN SANTA MARIA AT BUNNY AVENUE AND FROM ROEMER WAY TO PREISKER LANE |
| QA Service Level | 1 (Verified on 02/20/2020) |
Sample Information
| Sample Taken Date | 11/16/2021 | Sample Unique Key | 8 |
|---|---|---|---|
| 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 | 11/23/2021 |
| Sample type | Department Acceptance | A brief description of the sample | Type 2 AB |
| The quantity of what the sample constitutes | 458.11 sqyd | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | salvador | Last name of sampler or witnessed by | lopez-zamora |
| Title of sampler | ARET | Telephone number of sampler | 8057483854 |
| Laboratory sample identification | 334 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Calportland-Rocky CYN | 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 | Class 2 aggregate base | The fabricator/manufacturer designation for the sample | 3/4 in Class 2 Aggregate Base |
| The plant number | Calportland | A detailed description of where the material sample was collected | Stockpile on jobsite |
| Where the material sample would have been placed if not sampled | Roadway BR1 10378 to 10967 | 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: 2021-11-16-8-2 CTM 217-June 2011 (Verified)
DIME Test ID: 2021-11-16-8-3 CTM 216-June 2011 (Verified)
DIME Test ID: 2021-11-16-8-4 CTM 231-March 2013 (Verified)