Sample Record
Owner Lab
- CT D05 - Santa Maria Field Laboratory
DIME Sample ID 2022-01-11-25
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Project Information
| Project Identifiers | Project ID: 215785 DEA: 051H8504 EFIS: 0517000001 |
|---|---|
| DIST-CO-RTE-PM | 05-SB,SLO-101-70.7/91.0, 4.7/5.0 |
| Award Date | 07/27/2021 |
| Closeout Date | 10/20/2022 |
| Work Description | CONSTRUCT CONTRASTING SURFACE TREATMENT AND GORE AREA PAVING. |
| Location Description | SANTA BARBARA AND SAN LUIS OBISPO COUNTIES NEAR SANTA MARIA AT VARIOUS LOCATIONS FROM ROUTE 135 TO WEST TEFFT STREET |
| QA Service Level | 1 (Verified on 07/06/2021) |
Sample Information
| Sample Taken Date | 01/11/2022 | Sample Unique Key | 25 |
|---|---|---|---|
| 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 | 01/12/2022 |
| Sample type | Acceptance | A brief description of the sample | Type 2 AB |
| The quantity of what the sample constitutes | 1 days placement | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Siraj | Last name of sampler or witnessed by | Sarieddine |
| Title of sampler | ARE | Telephone number of sampler | 8057485218 |
| Laboratory sample identification | 334 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Granite Rock | 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) | 91-42-0006::BEE ROCK QUARRY |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | 3/4 inch Recycled base | The fabricator/manufacturer designation for the sample | 3/4 in Class 2 Aggregate Base |
| The plant number | A detailed description of where the material sample was collected | Stockpile on jobsite | |
| Where the material sample would have been placed if not sampled | Gore area | 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: 2022-01-11-25-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2022-01-11-25-2 CTM 202-November 2011 (Verified)
DIME Test ID: 2022-01-11-25-3 CTM 217-June 2011 (Verified)