Sample Record
Owner Lab
- CT D05 - Santa Maria Field Laboratory
DIME Sample ID 2022-01-31-12
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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 | 01/31/2022 | Sample Unique Key | 12 |
|---|---|---|---|
| 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 | 01/31/2022 |
| Sample type | Department Acceptance | A brief description of the sample | Concrete sand |
| The quantity of what the sample constitutes | 1 days placement | From where was the sample collected | Supplier |
| 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 | 220131B | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Calportland/Donaven | 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) | 91-42-0014 |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | Concrete sand | The fabricator/manufacturer designation for the sample | |
| The plant number | A detailed description of where the material sample was collected | Stockpile Donavan plant | |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | fine | |
| The concrete mix design number | 590GN1010 | 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: 2022-01-31-12-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2022-01-31-12-2 CTM 217-June 2011 (Verified)