Sample Record

Owner Lab

  • CT D05 - Santa Maria Field Laboratory

DIME Sample ID 2022-01-31-12

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 214710
DEA: 051J4704
EFIS: 0517000184
DIST-CO-RTE-PM05-SB-135-17.3/17.6
Award Date05/27/2021
Closeout Date08/17/2022
Work DescriptionBUNNY AVENUE AND NORTH BROADWAY PED IMPROVEMENTS
Location DescriptionSANTA BARBARA COUNTY IN SANTA MARIA AT BUNNY AVENUE AND FROM ROEMER WAY TO PREISKER LANE
QA Service Level1 (Verified on 02/20/2020)

Sample Information

Sample Taken Date01/31/2022 Sample Unique Key12
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 testing01/31/2022
Sample typeAcceptance A brief description of the sampleConcrete sand
The quantity of what the sample constitutes1 days placement From where was the sample collectedSupplier
First name of sampler or witnessed bySalvador Last name of sampler or witnessed byLopez-Zamora
Title of samplerARET Telephone number of sampler8057483854
Laboratory sample identification220131B Linked DIME Sample ID
The fabricator/manufacturer/facility nameCalportland/Donaven 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 or name of Pit)91-42-0014
The fabricator's/manufacturer's product name for the sampleConcrete sand The fabricator/manufacturer designation for the sample
The plant number A detailed description of where the material sample was collectedStockpile Donavan plant
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Sizefine
The concrete mix design number590GN1010 Lot number
Sublot number Aggregate Mix NumberNot set

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2022-01-31-12-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesSalvador Lopez-ZamoraCT D05 - Santa Maria Field Laboratory02/01/2022Salvador Lopez-Zamora
Yes
02/03/2022Complies
2022-01-31-12-2CTM 217-June 2011: Method of Test for Sand EquivalentSalvador Lopez-ZamoraCT D05 - Santa Maria Field Laboratory02/01/2022Salvador Lopez-Zamora
Yes
02/03/2022Complies.>or = to 75.

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2022-01-31-12-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2022-01-31-12-2 CTM 217-June 2011 (Verified)