Sample Record
Owner Lab
- CT D05 - Santa Maria Field Laboratory
DIME Sample ID 2022-09-13-14
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Project Information
| Project Identifiers | Project ID: 993340 DEA: 051J7504 EFIS: 0518000039 MINOR: 05A2318 |
|---|---|
| DIST-CO-RTE-PM | 05-SB-101-90 |
| Award Date | 09/08/2021 |
| Closeout Date | Not set |
| Work Description | Install CMS Sign Structure US 101 NB 0.3 Miles N of Donovan Rd |
| Location Description | In Santa Maria |
| QA Service Level | 1 (Verified on 10/20/2021) |
Sample Information
| Sample Taken Date | 09/13/2022 | Sample Unique Key | 14 |
|---|---|---|---|
| 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 | 09/14/2022 |
| Sample type | Quality Assurance | A brief description of the sample | 72GA1NOP |
| The quantity of what the sample constitutes | 19.10 CY | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Salvador | Last name of sampler or witnessed by | Lopez-zamora |
| Title of sampler | ARET | Telephone number of sampler | 8057483854 |
| Laboratory sample identification | 220914A | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Martin Mariatta SLO | 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) | 91-40-0003 |
|---|---|---|---|
| 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 | 1 inch | |
| The concrete mix design number | 72GA1NOP | Lot number | |
| Sublot number | Aggregate Mix Number | Not set |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2022-09-13-14-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2022-09-13-14-2 CTM 202-November 2011 (Verified)
DIME Test ID: 2022-09-13-14-3 CTM 202-November 2011 (Verified)
DIME Test ID: 2022-09-13-14-4 CTM 217-June 2011 (Verified)
DIME Test ID: 2022-09-13-14-5 CTM 227-December 2014 (Verified)
DIME Test ID: 2022-09-13-14-6 CTM 227-December 2014 (Verified)