Sample Record

Owner Lab

  • CT D05 - Santa Maria Field Laboratory

DIME Sample ID 2022-03-02-7

Project Information

Project IdentifiersProject ID: 215785
DEA: 051H8504
EFIS: 0517000001
DIST-CO-RTE-PM05-SB,SLO-101-70.7/91.0, 4.7/5.0
Award Date07/27/2021
Closeout Date10/20/2022
Work DescriptionCONSTRUCT CONTRASTING SURFACE TREATMENT AND GORE AREA PAVING.
Location DescriptionSANTA BARBARA AND SAN LUIS OBISPO COUNTIES NEAR SANTA MARIA AT VARIOUS LOCATIONS FROM ROUTE 135 TO WEST TEFFT STREET
QA Service Level1 (Verified on 07/06/2021)

Sample Information

Sample Taken Date03/02/2022 Sample Unique Key7
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 testing03/02/2022
Sample typeAcceptance A brief description of the sample3/4" Recycled class 2 AB
The quantity of what the sample constitutes1 days placement From where was the sample collectedJob Site
First name of sampler or witnessed byMark Last name of sampler or witnessed byBennett
Title of samplerARET Telephone number of sampler805291-6409
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameGranite Rock 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, name of Pit or Job Site)91-42-0022::BUELLTON PIT
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 collectedStockpile on Jobsit
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size3/4 inch
The concrete mix design number Lot number
Sublot number Aggregate Mix NumberNot set

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Sample File Attachments

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Test File Attachments