Sample Record
Owner Labs
- CT D05 - San Luis Obispo District Laboratory
- CT D05 - Santa Maria Field Laboratory
DIME Sample ID 2022-09-20-17
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 993340 DEA: 051J7504 EFIS: 0518000039 MINOR: 05A2318 |
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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 | 09/20/2022 | Sample Unique Key | 17 |
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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 | 09/20/2022 |
Sample type | Acceptance | A brief description of the sample | Class 2 aggregate base |
The quantity of what the sample constitutes | 14 CY | From where was the sample collected | Supplier |
First name of sampler or witnessed by | Salvador | Last name of sampler or witnessed by | Lopez-zamora |
Title of sampler | Telephone number of sampler | 8057483854 | |
Laboratory sample identification | 220920A | Linked DIME Sample ID | |
The fabricator/manufacturer/facility name | Martin Mariatta Sisquoc | 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) | 91-42-0003 |
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The fabricator's/manufacturer's product name for the sample | Class 2 aggregate base | The fabricator/manufacturer designation for the sample | |
The plant number | A detailed description of where the material sample was collected | Stockpile @ Plant | |
Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 3/4 inch | |
The concrete mix design number | Lot number | ||
Sublot number | Aggregate Mix Number | Not set |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2022-09-20-17-2 CTM 202-November 2011 (Verified)
DIME Test ID: 2022-09-20-17-4 CTM 217-June 2011 (Verified)
DIME Test ID: 2022-09-20-17-5 CTM 229-June 2011 (Verified)
DIME Test ID: 2022-09-20-17-6 CTM 229-June 2011 (Verified)