Sample Record

Owner Lab

  • CT D05 - Big Sur Field Laboratory

DIME Sample ID 2022-03-08-35

Project Information

Project IdentifiersProject ID: 213598
DEA: 051F75U4
EFIS: 0518000092
DIST-CO-RTE-PM05-MON-101-R36.9/47.7
Award Date01/16/2019
Closeout Date01/11/2024
Work DescriptionCRCP, SEISMIC RETROFIT, BRIDGE WIDENING AND MEDIAN BARRIER
Location DescriptionMONTEREY COUNTY IN AND NEAR KING CITY FROM 0.4 MILE SOUTH OF WILD HORSE ROAD OVERCROSSING TO TEAGUE AVENUE
QA Service Level1 (Verified on 10/11/2018)

Sample Information

Sample Taken Date03/08/2022 Sample Unique Key35
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 testing03/08/2022
Sample typeQuality Assurance A brief description of the sampleA set of 4 CRCP beams.
The quantity of what the sample constitutes70 CY From where was the sample collectedJob Site
First name of sampler or witnessed byMathew Last name of sampler or witnessed bySpencer
Title of samplerTET Telephone number of sampler8057790845
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameOHL KC - Mobile Batch Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeConcrete The concrete mix design numberSCI-12101-4
The truck number from where the sample was collected The batch plant ticket number from where the sample was collectedLoad 7
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedBatch Plant Loader Bucket Where the material sample would have been placed if not sampled
From Lot No. Bag Lot No.

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