Sample Record
Owner Lab
- CT D05 - Santa Maria Field Laboratory
DIME Sample ID 2022-09-08-68
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 993150 DEA: 051G9704 EFIS: 0516000008 |
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DIST-CO-RTE-PM | 05-SB-135-11.7/17.8 |
Award Date | 09/27/2021 |
Closeout Date | 03/28/2023 |
Work Description | COLD PLANE, OVERLAY ROADWAY WITH RHMA (GAP GRADED) AND ADA CURB RAMPS. |
Location Description | SANTA BARBARA COUNTY IN AND NEAR SANTA MARIA FROM LAKEVIEW ROAD TO NORTH SANTA MARIA CONNECTOR |
QA Service Level | 1 (Verified on 08/09/2021) |
Sample Information
Sample Taken Date | 09/08/2022 | Sample Unique Key | 68 |
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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 | 09/09/2022 |
Sample type | Quality Assurance | A brief description of the sample | 3 4x8 cylinders |
The quantity of what the sample constitutes | 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 | Telephone number of sampler | ||
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Calportland Donovan | 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 | 590GN1010 |
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The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | NA | |
Concrete batch plant | Calportland Donovan | The fabricator/manufacturer designation for the sample | |
A detailed description of where the material sample was collected | Discharge from BACK OF concrete truck CHUTE into wheelbarrow. | Where the material sample would have been placed if not sampled | Barrier Footing |
From Lot No. | Bag Lot No. |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2022-09-08-68-1 ASTM C39-21 (Verified)
DIME Test ID: 2022-09-08-68-2 CTM 521-June 2020 (Verified)