Sample Record

Owner Lab

  • CT D05 - Carpinteria Field Laboratory

DIME Sample ID 2023-03-06-11

Project Information

Project IdentifiersProject ID: 994087
DEA: 051G4104
EFIS: 0515000012
DIST-CO-RTE-PM05-SB-101-4.0/4.8
Award Date08/01/2022
Closeout DateNot set
Work DescriptionSanta Claus Lane Bike Path - !!Charge time to 05-0N72U4 per Project Manager / Corridor Manager!!
Location Description!!Charge time to 05-0N72U4 per Project Manager / Corridor Manager!!
QA Service Level1 (Verified on 07/25/2022)

Sample Information

Sample Taken Date03/06/2023 Sample Unique Key11
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 testing03/06/2023
Sample typeAcceptance A brief description of the sample3/8 to #8 aggregate
The quantity of what the sample constitutesproduction stockpile. From where was the sample collectedSource
First name of sampler or witnessed byJessi Last name of sampler or witnessed byGomez
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameMartin Marrieta 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, name of Pit or Job Site)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 collectedMartin Marietta Goleta
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size3/8 inch
The concrete mix design number725A1Z0P Lot number
Sublot number Aggregate Mix Number

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Sample File Attachments

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Test File Attachments