Sample Record
Owner Lab
- CT D05 - Carpinteria Field Laboratory
DIME Sample ID 2023-01-25-38
Project Information
Project Identifiers | Project ID: 215129 DEA: 050N73U4 EFIS: 0520000166 |
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DIST-CO-RTE-PM | 05-SB-101-7.3/9.6 |
Award Date | 10/22/2020 |
Closeout Date | 12/11/2023 |
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 Description | SUMMERLAND FROM 0.2 MILES NORTH OF PARDARO LANE OVERCROSSING TO SAN YSIDRO CREEK BRIDGE |
QA Service Level | 1 (Verified on 08/24/2020) |
Sample Information
Sample Taken Date | 01/25/2023 | Sample Unique Key | 38 |
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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 | 01/25/2023 |
Sample type | Quality Assurance | A brief description of the sample | PCC Aggregates |
The quantity of what the sample constitutes | 5 cy | From where was the sample collected | Supplier |
First name of sampler or witnessed by | Darren | Last name of sampler or witnessed by | LaChaine |
Title of sampler | Telephone number of sampler | 8056213616 | |
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Martin Marietta Goleta | 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) | 91-42-0003 |
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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 | Conveyor Belt | |
Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | fine | |
The concrete mix design number | 725A1Z0P | Lot number | |
Sublot number | Aggregate Mix Number |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2023-01-25-38-1 CTM 217-June 2011 (Verified)