Sample Record
Owner Lab
- CT D05 - Carpinteria Field Laboratory
DIME Sample ID 2023-04-27-78
Sample Details QR Code
Scan this code to open this Sample Details view on another device.
Project Information
| Project Identifiers | Project ID: 215129 DEA: 050N73U4 EFIS: 0520000166 |
|---|---|
| DIST-CO-RTE-PM | 05-SB-101-7.3/9.6 |
| Award Date | 10/22/2020 |
| Closeout Date | 12/11/2023 |
| 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 Description | SUMMERLAND FROM 0.2 MILES NORTH OF PARDARO LANE OVERCROSSING TO SAN YSIDRO CREEK BRIDGE |
| QA Service Level | 1 (Verified on 08/24/2020) |
Sample Information
| Sample Taken Date | 04/27/2023 | Sample Unique Key | 78 |
|---|---|---|---|
| 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 | 04/27/2023 |
| Sample type | Quality Assurance | A brief description of the sample | Concrete Test Samples |
| The quantity of what the sample constitutes | 19.1cy | From where was the sample collected | Supplier |
| First name of sampler or witnessed by | Dorell | Last name of sampler or witnessed by | Harper |
| Title of sampler | Telephone number of sampler | ||
| 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 | 63511N0P |
|---|---|---|---|
| The truck number from where the sample was collected | 550 | The batch plant ticket number from where the sample was collected | 3433304 |
| 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. |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2023-04-27-78-1 ASTM C1064-17 (Verified)
DIME Test ID: 2023-04-27-78-2 ASTM C143-20 (Verified)