Sample Record
Owner Lab
- CT D05 - Santa Maria Field Laboratory
DIME Sample ID 2022-09-14-58
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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 | 09/14/2022 | Sample Unique Key | 58 |
|---|---|---|---|
| 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 | 09/15/2022 |
| 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 | 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 | 220914B | Linked DIME Sample ID | 2022-09-13-14 |
| 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 | Concrete | The concrete mix design number | 72GA1NOP |
|---|---|---|---|
| The truck number from where the sample was collected | load 1 | The batch plant ticket number from where the sample was collected | NA |
| Concrete batch plant | Martin Marietta SLO | The fabricator/manufacturer designation for the sample | |
| A detailed description of where the material sample was collected | Discharge from 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: 2022-09-14-58-1 CTM 521-June 2020 (Verified)
DIME Test ID: 2022-09-14-58-2 CTM 521-June 2020 (Verified)
DIME Test ID: 2022-09-14-58-3 CTM 521-June 2020 (Verified)
DIME Test ID: 2022-09-14-58-4 ASTM C1064-17 (Verified)
DIME Test ID: 2022-09-14-58-5 ASTM C143-20 (Verified)