Sample Record
Owner Lab
- CT D05 - Santa Maria Field Laboratory
DIME Sample ID 2022-11-15-1
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 993603 DEA: 051N7004 EFIS: 0521000081 |
|---|---|
| DIST-CO-RTE-PM | 05-SLO-166-16.0/21.0 |
| Award Date | 04/22/2022 |
| Closeout Date | 03/28/2023 |
| Work Description | PARTIAL DEPTH RECYCLING AND OVERLAY WITH RHMA (GAP GRADED). |
| Location Description | SAN LUIS OBISPO COUNTY ABOUT 8 MILES EAST OF SANTA MARIA FROM 0.5 MILE WEST OF HUASNA RIVER BRIDGE TO 1.9 MILES WEST OF CUYAMA RIVER BRIDGE. |
| QA Service Level | 1 (Verified on 03/28/2022) |
Sample Information
| Sample Taken Date | 11/15/2022 | Sample Unique Key | 1 |
|---|---|---|---|
| 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 | 11/15/2022 |
| Sample type | Quality Control | A brief description of the sample | 1/2" RHMA-G |
| The quantity of what the sample constitutes | L1SL1 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Matthew | Last name of sampler or witnessed by | Ramos |
| Title of sampler | Telephone number of sampler | 15623219859 | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Calportland/rocky cyn | 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) | 91-42-0014 |
|---|---|---|---|
| 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 | Belt Discharge | |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 1 inch | |
| The concrete mix design number | Lot number | ||
| Sublot number | Aggregate Mix Number |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||