Sample Record
Owner Lab
- CT D05 - Santa Maria Field Laboratory
DIME Sample ID 2022-09-29-17
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 214993 DEA: 051F5004 EFIS: 0514000003 |
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DIST-CO-RTE-PM | 05-SB-101,135-70.6/71.2;0.1 |
Award Date | 11/17/2020 |
Closeout Date | 01/11/2024 |
Work Description | CONSTRUCT CONCRETE BRIDGE, BRIDGE REMOVAL, COLD PLANE, PLACE HMA. |
Location Description | SANTA BARBARA COUNTY AT LOS ALAMOS ON ROUTE 101 FROM 0.3 MILE SOUTH TO 0.3 MILE NORTH OF ROUTE 101/135 SEPARATION AND ON ROUTE 135 AT ROUTE 101/135 SEPARATION |
QA Service Level | 1 (Verified on 09/03/2020) |
Sample Information
Sample Taken Date | 09/29/2022 | 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 | 09/29/2022 |
Sample type | Quality Assurance | A brief description of the sample | PCC aggs |
The quantity of what the sample constitutes | 45cy | From where was the sample collected | Distributor |
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 | 220929A | 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 | Los Alamos Bridge |
Material Information
Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | 91-42-0014 |
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The fabricator's/manufacturer's product name for the sample | 400 psi 1 inch Gravel | The fabricator/manufacturer designation for the sample | |
The plant number | A detailed description of where the material sample was collected | Calportland Donaven plant | |
Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 1 inch | |
The concrete mix design number | 590GM1060 | 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: 2022-09-29-17-1 CTM 202-November 2011 (Verified)
File Name | Extension | Date Uploaded | Test ID | Actions |
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05-1F5004_PCC Worksheet_590GN1060_220929 | 09/30/2022 | 2022-09-29-17-1 | Info |
DIME Test ID: 2022-09-29-17-2 CTM 202-November 2011 (Verified)
DIME Test ID: 2022-09-29-17-3 CTM 217-June 2011 (Verified)
DIME Test ID: 2022-09-29-17-4 CTM 227-December 2014 (Verified)