Sample Record

Owner Lab

  • CT D05 - Carpinteria Field Laboratory

DIME Sample ID 2023-03-06-16

Project Information

Project IdentifiersProject ID: 215129
DEA: 050N73U4
EFIS: 0520000166
DIST-CO-RTE-PM05-SB-101-7.3/9.6
Award Date10/22/2020
Closeout Date12/11/2023
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 DescriptionSUMMERLAND FROM 0.2 MILES NORTH OF PARDARO LANE OVERCROSSING TO SAN YSIDRO CREEK BRIDGE
QA Service Level1 (Verified on 08/24/2020)

Sample Information

Sample Taken Date03/06/2023 Sample Unique Key16
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 testing03/05/2023
Sample typeDepartment Acceptance A brief description of the sample1x 4 PCC Aggregate
The quantity of what the sample constitutes200 cy From where was the sample collectedFabricator
First name of sampler or witnessed byJesse Last name of sampler or witnessed byGomez
Title of sampler Telephone number of sampler8055501704
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameGranite Padaro Plant 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)91-42-0006
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 collectedBelt Cut at Plant
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size1 inch
The concrete mix design number231 R Lot number
Sublot number Aggregate Mix Number

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2023-03-06-16-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesIsaac Gleffe, CT D05 - Carpinteria Field Laboratory03/06/2023Isaac Gleffe
Yes
03/16/2023
2023-03-06-16-2CTM 227-December 2014: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness)Isaac Gleffe, CT D05 - Carpinteria Field Laboratory03/06/2023Isaac Gleffe
Yes
03/16/2023

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2023-03-06-16-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2023-03-06-16-2 CTM 227-December 2014 (Verified)