Sample Record

Owner Lab

  • CT D05 - Carpinteria Field Laboratory

DIME Sample ID 2023-03-03-47

Project Information

Project IdentifiersProject ID: 215129
DEA: 050N73U4
EFIS: 0520000166
DIST-CO-RTE-PM05-SB-101-7.3/9.6
Award Date10/23/2020
Closeout DateNot set
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 Date03/03/2023 Sample Unique Key47
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 testing03/31/2023
Sample typeDepartment Acceptance A brief description of the sample4x8 concrete cylinders
The quantity of what the sample constitutes19 CY From where was the sample collectedJob Site
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 nameMartin Marietta Goleta 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 number63511N0P
The truck number from where the sample was collected675 The batch plant ticket number from where the sample was collected3433009
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedDischarge from concrete truck into wheelbarrow Where the material sample would have been placed if not sampled
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2023-03-03-47-1CTM 521-June 2020: Method of Test for Compressive Strength of Molded Concrete CylindersDarren Harper, CT D05 - Carpinteria Field Laboratory03/31/2023Darren LaChaine
Yes
04/03/2023

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2023-03-03-47-1 CTM 521-June 2020 (Verified)