Sample Record
Owner Lab
- RMA Group - Rancho Cucamonga
DIME Sample ID 2022-06-08-42
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Project Information
| Project Identifiers | Project ID: 993235 DEA: 051H4504 EFIS: 0516000075 |
|---|---|
| DIST-CO-RTE-PM | 05-SB-154-R31.8/R32.1 |
| Award Date | 11/22/2021 |
| Closeout Date | Not set |
| Work Description | CONSTRUCT CIDH CONCRETE PILES AND STRUCTURAL CONCRETE BRIDGE. |
| Location Description | SANTA BARBARA COUNTY IN AND NEAR SANTA BARBARA FROM PRIMAVERA ROAD UNDERCROSSING TO LA COLINA ROAD UNDERCROSSING |
| QA Service Level | 1 (Verified on 10/06/2021) |
Sample Information
| Sample Taken Date | 06/08/2022 | Sample Unique Key | 42 |
|---|---|---|---|
| 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 | 06/08/2022 |
| Sample type | Quality Control | A brief description of the sample | Washed Concrete Sand |
| The quantity of what the sample constitutes | 21 CY | From where was the sample collected | Supplier |
| First name of sampler or witnessed by | Paul | Last name of sampler or witnessed by | Pastora |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | CEMEX Santa Barbara | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Aggregate | 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 collected | Conveyor Belt | |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | fine | |
| The concrete mix design number | 1610837 | Lot number | |
| Sublot number | Aggregate Mix Number | Not set |
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. | |||