Sample Record

Owner Lab

  • RMA Group - Rancho Cucamonga

DIME Sample ID 2022-06-08-41

Project Information

Project IdentifiersProject ID: 993235
DEA: 051H4504
EFIS: 0516000075
DIST-CO-RTE-PM05-SB-154-R31.8/R32.1
Award Date11/22/2021
Closeout DateNot set
Work DescriptionCONSTRUCT CIDH CONCRETE PILES AND STRUCTURAL CONCRETE BRIDGE.
Location DescriptionSANTA BARBARA COUNTY IN AND NEAR SANTA BARBARA FROM PRIMAVERA ROAD UNDERCROSSING TO LA COLINA ROAD UNDERCROSSING
QA Service Level1 (Verified on 10/06/2021)

Sample Information

Sample Taken Date06/08/2022 Sample Unique Key41
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 testing06/08/2022
Sample typeQuality Control A brief description of the sample3/8" Aggregate Bin
The quantity of what the sample constitutes21 CY From where was the sample collectedSupplier
First name of sampler or witnessed byPaul Last name of sampler or witnessed byPastora
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameCEMEX Santa Barbara Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure nameWingwall Stage 1

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)91-19-0035
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 collectedConveyor Belt
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size3/8 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