Sample Record
Owner Lab
- CT D05 - Santa Maria Field Laboratory
DIME Sample ID 2022-11-23-5
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 214993 DEA: 051F5004 EFIS: 0514000003 |
|---|---|
| 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 | 11/23/2022 | Sample Unique Key | 5 |
|---|---|---|---|
| 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 | 11/24/2022 |
| Sample type | Quality Assurance | A brief description of the sample | PCC |
| The quantity of what the sample constitutes | 7 cy | From where was the sample collected | Job Site |
| 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 | 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 | Concrete | The concrete mix design number | 590GN1060 |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | NA | |
| Concrete batch plant | 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 | abut 1 back wall |
| 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: 2022-11-23-5-1 CTM 521-June 2020 (Verified)
DIME Test ID: 2022-11-23-5-2 CTM 521-June 2020 (Verified)
DIME Test ID: 2022-11-23-5-3 CTM 521-June 2020 (Verified)
DIME Test ID: 2022-11-23-5-4 CTM 556-January 2018 (Verified)
DIME Test ID: 2022-11-23-5-5 CTM 557-June 2020 (Verified)