Sample Record
Owner Lab
- CT D05 - Paso Robles Field Laboratory
DIME Sample ID 2023-03-27-6
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 214989 DEA: 050L7224 EFIS: 0515000098 |
|---|---|
| DIST-CO-RTE-PM | 05-SLO-1-34.5 |
| Award Date | 10/13/2021 |
| Closeout Date | Not set |
| Work Description | REPLACE BRIDGE. |
| Location Description | SAN LUIS OBISPO COUNTY NEAR MORRO BAY AT OLD CREEK BRIDGE |
| QA Service Level | 1 (Verified on 09/03/2020) |
Sample Information
| Sample Taken Date | 03/27/2023 | Sample Unique Key | 6 |
|---|---|---|---|
| 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 testing | 03/27/2023 |
| Sample type | Quality Assurance | A brief description of the sample | Class 3 Aggregate Base |
| The quantity of what the sample constitutes | 2500 Sq. Ft. | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Larry | Last name of sampler or witnessed by | SCOTT |
| Title of sampler | TET | Telephone number of sampler | 8052346493 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Negranti | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Old Creek Bridge |
Material Information
| Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | 91-40-0011 |
|---|---|---|---|
| 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 collected | 3 different locations @ abutment 4 | |
| Where the material sample would have been placed if not sampled | Abutment 4 | Primary Aggregate Nominal Size | 3/4 inch |
| The concrete mix design number | Lot number | ||
| Sublot number | Aggregate Mix Number |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2023-03-27-6-1 CTM 216-June 2011 (Verified)