Sample Record

Owner Lab

  • CT D05 - Santa Maria Field Laboratory

DIME Sample ID 2022-04-29-37

Project Information

Project IdentifiersProject ID: 993150
DEA: 051G9704
EFIS: 0516000008
DIST-CO-RTE-PM05-SB-135-11.7/17.8
Award Date09/27/2021
Closeout DateNot set
Work DescriptionCOLD PLANE, OVERLAY ROADWAY WITH RHMA (GAP GRADED) AND ADA CURB RAMPS.
Location DescriptionSANTA BARBARA COUNTY IN AND NEAR SANTA MARIA FROM LAKEVIEW ROAD TO NORTH SANTA MARIA CONNECTOR
QA Service Level1 (Verified on 08/09/2021)

Sample Information

Sample Taken Date04/29/2022 Sample Unique Key37
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 testing04/29/2022
Sample typeAcceptance A brief description of the sample3/4" coldfeed
The quantity of what the sample constitutesL1SL4 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 sampler8057572990
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameCalportland-Garey Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormL1SL4 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 sample.75in HMA type A LSM Rap The fabricator/manufacturer designation for the sampleColdfeed
The plant number A detailed description of where the material sample was collectedBelt Discharge
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size3/4 inch
The concrete mix design number Lot number1
Sublot number4 HMA Design ID

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2022-04-29-37-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesSalvador Lopez-ZamoraCT D05 - Santa Maria Field Laboratory03/02/2022Salvador Lopez-Zamora
Yes
05/24/2022#200 below minimum operating range.

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2022-04-29-37-1 CTM 202-November 2011 (Verified)