Sample Record

Owner Labs

  • CT D05 - Monterey Construction Field Laboratory
  • CT D05 - Santa Cruz Field Laboratory

DIME Sample ID 2023-02-22-14

Project Information

Project IdentifiersProject ID: 994486
DEA: 051Q0804
EFIS: 0522000148
DIST-CO-RTE-PM05-SCR,SCR/SCR-9,1-17.41/17.5
Award DateNot set
Closeout DateNot set
Work DescriptionRepair of viaduct barrier wall and replace CIDH piles. Holiday Lane Viaduct Slipout. State Route 9 at PM SCR-09-8.4 Jay's Slide, and SR 236 (SCR-236-16.87)
Location DescriptionSanta Cruz County. State Route 9 at PM SCR-09-8.4 and SR 236 (SCR-236-16.87)
QA Service Level1 (Verified on 02/13/2023)

Sample Information

Sample Taken Date02/22/2023 Sample Unique Key14
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 testing02/23/2023
Sample typeQuality Assurance A brief description of the sampleConcrete Cylinders 4x8
The quantity of what the sample constitutes40 CY From where was the sample collectedJob Site
First name of sampler or witnessed byJoseph Last name of sampler or witnessed byEsteybar
Title of samplerASR Telephone number of sampler2094708827
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameLas Animas Concrete 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 numberC1S50
The truck number from where the sample was collected114 The batch plant ticket number from where the sample was collected366320
Concrete batch plantLas Animas Concrete The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedChute Where the material sample would have been placed if not sampledPile Cap
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
No results found.

Sample File Attachments

File NameExtensionDate UploadedActions
No results found.

Test File Attachments