Sample Record
Owner Lab
- CT D05 - Whitley Gardens Field Laboratory
DIME Sample ID 2022-02-23-11
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 214979 DEA: 051F4904 EFIS: 0514000002 |
|---|---|
| DIST-CO-RTE-PM | 05-SLO-41,101-12.5/13.3,54.9/55.7 |
| Award Date | 10/23/2020 |
| Closeout Date | 10/20/2022 |
| Work Description | REMOVE GUARDRAIL AND INSTALL CONCRETE MEDIAN BARRIER. |
| Location Description | SAN LUIS OBISPO COUNTY IN ATASCADERO ON ROUTE 41 FROM OLD MORRO ROAD TO ATASCADERO CREEK BRIDGE NO. 49-0051 AND IN PASO ROBLES ON ROUTE 101 FROM 0.8 MILE NORTH OF ROUTE 101/46 SEPARATION TO SOUTH PASO ROBLES OVERHEAD |
| QA Service Level | 1 (Verified on 09/03/2020) |
Sample Information
| Sample Taken Date | 02/23/2022 | Sample Unique Key | 11 |
|---|---|---|---|
| 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 | 02/24/2022 |
| Sample type | Department Acceptance | A brief description of the sample | PCC 101 barrier |
| The quantity of what the sample constitutes | 6 CY | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Brandon | Last name of sampler or witnessed by | Wood |
| Title of sampler | TET | Telephone number of sampler | |
| Laboratory sample identification | 20220223 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | CalPortland | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | 101 Barrier Project |
Material Information
| Material Type | Concrete | The concrete mix design number | 590RN1010 |
|---|---|---|---|
| The truck number from where the sample was collected | 4007 | The batch plant ticket number from where the sample was collected | 1730656 |
| Concrete batch plant | Cal Portland | The fabricator/manufacturer designation for the sample | |
| A detailed description of where the material sample was collected | Back of truck chute | Where the material sample would have been placed if not sampled | |
| From Lot No. | Bag Lot No. |
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. | |||