Sample Record

Owner Lab

  • CT D05 - Prunedale Field Laboratory

DIME Sample ID 2022-04-12-6

Project Information

Project IdentifiersProject ID: 993169
DEA: 050A0904
EFIS: 0513000028
DIST-CO-RTE-PM05-MON-156-R1.4/R2.0
Award Date12/14/2021
Closeout DateNot set
Work DescriptionWIDEN REINFORCED STRUCTURAL CONCRETE BRIDGE & REPLACE BRIDGE RAILING.
Location DescriptionMONTEREY COUNTY IN AND NEAR CASTROVILLE FROM 0.3 MILE EAST OF ROUTE 156/183 SEPARATION TO 0.2 MILE EAST OF CASTROVILLE BOULEVARD
QA Service Level1 (Verified on 08/17/2021)

Sample Information

Sample Taken Date04/12/2022 Sample Unique Key6
Will the laboratory/organization for which you are a member perform testing on this material sample?No Date that the sample was received by the laboratory/organization performing the testingNot set
Sample typePreliminary A brief description of the sampleRecycled CL 2 AB
The quantity of what the sample constitutes2 Bags From where was the sample collectedSource
First name of sampler or witnessed byWesley Last name of sampler or witnessed byRider
Title of samplerTET Telephone number of sampler
Laboratory sample identification0412221430 Linked DIME Sample ID
The fabricator/manufacturer/facility nameA & S Metals Transportation Laboratory (TL) Number956403
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)NA
The fabricator's/manufacturer's product name for the sampleRecycled CL 2 AB The fabricator/manufacturer designation for the sample
The plant number A detailed description of where the material sample was collectedFrom back dragged pile from Loader bucket from Stockpile at source
Where the material sample would have been placed if not sampledRoadway 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