Sample Record
Owner Lab
- CT D05 - Whitley Gardens Field Laboratory
DIME Sample ID 2022-07-12-8
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 212246 DEA: 053307A4 EFIS: 0514000027 |
|---|---|
| DIST-CO-RTE-PM | 05-SLO-46-49.7/54.6 |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | Cholame Segment |
| Location Description | Not set |
| QA Service Level | 1 (Verified on 09/30/2019) |
Sample Information
| Sample Taken Date | 07/12/2022 | Sample Unique Key | 8 |
|---|---|---|---|
| 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 | 07/12/2022 |
| Sample type | Quality Assurance | A brief description of the sample | Fill Sand from SPM |
| The quantity of what the sample constitutes | Structure Backfill Stockpile | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Brandon | Last name of sampler or witnessed by | Wood |
| Title of sampler | TET | Telephone number of sampler | 8056102729 |
| Laboratory sample identification | 37044structure backfill gradation | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Sierra Pacific - Avenal | 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) | 91-10-0006 |
|---|---|---|---|
| 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 | Jobsite mixed stockpile | |
| Where the material sample would have been placed if not sampled | Bridge Abutment | Primary Aggregate Nominal Size | 1/2 inch |
| The concrete mix design number | 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. | |||