Sample Record

Owner Lab

  • CT D05 - Carpinteria Field Laboratory

DIME Sample ID 2023-02-01-24

Project Information

Project IdentifiersProject ID: 215753
DEA: 050N72U4
EFIS: 0520000169
DIST-CO-RTE-PM05-SB-101-4.4/R7.7
Award Date03/01/2021
Closeout DateNot set
Work DescriptionPlease cc Office Engineer Ni Nyoman Paul on reports sent to RE and SR. Construct High Occupancy Vehicle (HOV) lanes on U.S. Route 101 and rehabilitation - Segment 4B.
Location Description101 freeway in Summerland, CA
QA Service Level1 (Verified on 05/06/2021)

Sample Information

Sample Taken Date02/01/2023 Sample Unique Key24
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 testing02/01/2023
Sample typeQuality Assurance A brief description of the sampleCRCP Concrete
The quantity of what the sample constitutes600 CY From where was the sample collectedSupplier
First name of sampler or witnessed byDorell Last name of sampler or witnessed byHarper
Title of sampler Telephone number of sampler6692889248
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameGranite Portable Plant at Padaro Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeConcrete The concrete mix design number231
The truck number from where the sample was collected1990 The batch plant ticket number from where the sample was collected11827
Concrete batch plantGranites Portable Plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedDischarge from concrete truck into wheelbarrow. Where the material sample would have been placed if not sampled
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2023-02-01-24-1CTM 504-June 2010: Method of Test for Determining Air Content of Freshly Mixed Concrete by the Pressure MethodDorell HarperCT D05 - Carpinteria Field Laboratory02/01/2023Darren LaChaine
Yes
02/13/2023

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2023-02-01-24-1 CTM 504-June 2010 (Verified)