Sample Record
Owner Lab
- CT D05 - San Luis Obispo District Laboratory
DIME Sample ID 2021-12-21-13
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 213598 DEA: 051F75U4 EFIS: 0518000092 |
|---|---|
| DIST-CO-RTE-PM | 05-MON-101-R36.9/47.7 |
| Award Date | 01/16/2019 |
| Closeout Date | 01/11/2024 |
| Work Description | CRCP, SEISMIC RETROFIT, BRIDGE WIDENING AND MEDIAN BARRIER |
| Location Description | MONTEREY COUNTY IN AND NEAR KING CITY FROM 0.4 MILE SOUTH OF WILD HORSE ROAD OVERCROSSING TO TEAGUE AVENUE |
| QA Service Level | 1 (Verified on 10/11/2018) |
Sample Information
| Sample Taken Date | 12/21/2021 | Sample Unique Key | 13 |
|---|---|---|---|
| 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 | 12/21/2021 |
| Sample type | Department Acceptance | A brief description of the sample | Class 1 Base |
| The quantity of what the sample constitutes | 1 bag | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | R. | Last name of sampler or witnessed by | Burgess |
| Title of sampler | TET | Telephone number of sampler | |
| Laboratory sample identification | 21-C-041 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | OHL Stockpile | Transportation Laboratory (TL) Number | 821579 |
| 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) | Jobsite material |
|---|---|---|---|
| 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 | Jobsite Stockpile | |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 1-1/2 inch | |
| The concrete mix design number | Lot number | ||
| Sublot number | Aggregate Mix Number | Not set |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||