Sample Record

Owner Lab

  • CT D05 - Carpinteria Field Laboratory

DIME Sample ID 2023-01-25-37

Project Information

Project IdentifiersProject ID: 215129
DEA: 050N73U4
EFIS: 0520000166
DIST-CO-RTE-PM05-SB-101-7.3/9.6
Award Date10/23/2020
Closeout DateNot set
Work Description!!Please CC Office Engineer Gabrielle Herrera on reports to RE and SR!! Segment 4C - Summerland: Construct HOV lanes and rehabilitation. Source inspection of sign structure trusses, lighting structures, steel soldier piles, epoxy coated rebar,
Location DescriptionSUMMERLAND FROM 0.2 MILES NORTH OF PARDARO LANE OVERCROSSING TO SAN YSIDRO CREEK BRIDGE
QA Service Level1 (Verified on 08/24/2020)

Sample Information

Sample Taken Date01/25/2023 Sample Unique Key37
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 testing01/25/2023
Sample typeQuality Assurance A brief description of the samplePCC Aggregates
The quantity of what the sample constitutes5 cy From where was the sample collectedSupplier
First name of sampler or witnessed byDarren Last name of sampler or witnessed byLaChaine
Title of sampler Telephone number of sampler8056213616
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameMartin Marietta Goleta Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAggregate Source Identification (SMARA or name of Pit)91-42-0003
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 collectedConveyor Belt
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Sizefine
The concrete mix design number725A1Z0P Lot number
Sublot number Aggregate Mix Number

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2023-01-25-37-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesDarren LaChaineCT D05 - Carpinteria Field Laboratory01/25/2023Darren LaChaine
Yes
02/02/2023

Sample File Attachments

File NameExtensionDate UploadedActions
No results found.

Test File Attachments


DIME Test ID: 2023-01-25-37-1 CTM 202-November 2011 (Verified)