Sample Record
Owner Lab
- CT D05 - Paso Robles Field Laboratory
DIME Sample ID 2022-12-21-86
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 213598 DEA: 051F75U4 EFIS: 0518000092 |
|---|---|
| DIST-CO-RTE-PM | 05-MON-101-R36.9/47.7 |
| Award Date | 01/16/2019 |
| Closeout Date | 01/11/2024 |
| Work Description | CRCP, SEISMIC RETROFIT, BRIDGE WIDENING AND MEDIAN BARRIER |
| Location Description | MONTEREY COUNTY IN AND NEAR KING CITY FROM 0.4 MILE SOUTH OF WILD HORSE ROAD OVERCROSSING TO TEAGUE AVENUE |
| QA Service Level | 1 (Verified on 10/11/2018) |
Sample Information
| Sample Taken Date | 12/21/2022 | Sample Unique Key | 86 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | No | Date that the sample was received by the laboratory/organization performing the testing | 12/21/2022 |
| Sample type | Quality Assurance | A brief description of the sample | Concrete beams |
| The quantity of what the sample constitutes | 1000CY | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Michael | Last name of sampler or witnessed by | Savage |
| Title of sampler | TET | Telephone number of sampler | 805-319-0863 |
| Laboratory sample identification | 221221-1 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | OHL Batch Plant | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Concrete | The concrete mix design number | SCI-12101-4 |
|---|---|---|---|
| The truck number from where the sample was collected | 1987 | The batch plant ticket number from where the sample was collected | 3 |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | Batch plant | |
| A detailed description of where the material sample was collected | Loader bucket | Where the material sample would have been placed if not sampled | Gore |
| From Lot No. | Bag Lot No. |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||