Sample Record
Owner Lab
- CT D05 - Santa Maria Field Laboratory
DIME Sample ID 2022-09-08-3
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Project Information
| Project Identifiers | Project ID: 993150 DEA: 051G9704 EFIS: 0516000008 |
|---|---|
| DIST-CO-RTE-PM | 05-SB-135-11.7/17.8 |
| Award Date | 09/27/2021 |
| Closeout Date | 03/28/2023 |
| Work Description | COLD PLANE, OVERLAY ROADWAY WITH RHMA (GAP GRADED) AND ADA CURB RAMPS. |
| Location Description | SANTA BARBARA COUNTY IN AND NEAR SANTA MARIA FROM LAKEVIEW ROAD TO NORTH SANTA MARIA CONNECTOR |
| QA Service Level | 1 (Verified on 08/09/2021) |
Sample Information
| Sample Taken Date | 09/08/2022 | Sample Unique Key | 3 |
|---|---|---|---|
| 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 | 09/08/2022 |
| Sample type | Quality Assurance | A brief description of the sample | Class 2 Concrete |
| The quantity of what the sample constitutes | 10.5 Cy | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Isaac | Last name of sampler or witnessed by | Gleffe |
| Title of sampler | ARET | Telephone number of sampler | 18053191237 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Calportland/Donaven | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Concrete | The concrete mix design number | 590GN1010 |
|---|---|---|---|
| The truck number from where the sample was collected | load 1 | The batch plant ticket number from where the sample was collected | 1735273 |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | Dischard fron concrete truck into wheelbarrow. | Where the material sample would have been placed if not sampled | |
| From Lot No. | Bag Lot No. |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2022-09-08-3-1 CTM 521-June 2020 (Verified)
DIME Test ID: 2022-09-08-3-2 ASTM C143-20 (Verified)
DIME Test ID: 2022-09-08-3-3 CTM 521-June 2020 (Verified)