Sample Record
Owner Lab
- CT D05 - Carpinteria Field Laboratory
DIME Sample ID 2023-06-03-10
Sample Details QR Code
Scan this code to open this Sample Details view on another device.
Project Information
| Project Identifiers | Project ID: 994408 DEA: 051K03U4 EFIS: 0522000026 |
|---|---|
| DIST-CO-RTE-PM | 05-SLO-101- |
| Award Date | 10/04/2022 |
| Closeout Date | Not set |
| Work Description | !!PLEASE CC Office Engineer Barbara Riccardi on reports to RE and SR!! Construct 2 roundabouts in Montecito along US 101. |
| Location Description | Not set |
| QA Service Level | 1 (Verified on 12/29/2022) |
Sample Information
| Sample Taken Date | 06/03/2023 | Sample Unique Key | 10 |
|---|---|---|---|
| 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 | 06/13/2023 |
| Sample type | Acceptance | A brief description of the sample | Concrete beams |
| The quantity of what the sample constitutes | 30cy | From where was the sample collected | Supplier |
| First name of sampler or witnessed by | Jesse | Last name of sampler or witnessed by | Gomez |
| Title of sampler | Telephone number of sampler | 8055501704 | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | CEMEX Santa Barbara | 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 | 1625995 |
|---|---|---|---|
| The truck number from where the sample was collected | 10067296 | The batch plant ticket number from where the sample was collected | 30769034 |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | Discharge from concrete truck into wheelbarrow. | Where the material sample would have been placed if not sampled | |
| From Lot No. | Bag Lot No. |
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2023-06-03-10-1 CTM 523-May 2020 (Verified)