Sample Record
Owner Lab
- CT D05 - Paso Robles Field Laboratory
DIME Sample ID 2024-03-26-49
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 994686 DEA: 051K4604 EFIS: 0518000210 |
|---|---|
| DIST-CO-RTE-PM | 05-SLO-46-29.7/32.2 |
| Award Date | 09/01/2023 |
| Closeout Date | Not set |
| Work Description | COLD PLANE, PLACE HMA, RHMA, CONC PVMT, MODIFY SIGNAL AND LIGHTING. |
| Location Description | SAN LUIS OBISPO COUNTY IN PASO ROBLES FROM 300 FEET WEST OF ROUTE 101/46 SEPARATION TO 0.1 MILE EAST OF AIRPORT ROAD |
| QA Service Level | 1 (Verified on 04/18/2023) |
Sample Information
| Sample Taken Date | 03/26/2024 | Sample Unique Key | 49 |
|---|---|---|---|
| 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 | 03/26/2024 |
| Sample type | Quality Assurance | A brief description of the sample | PCC 1x4 and Sand |
| The quantity of what the sample constitutes | 104 LF | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Austin | Last name of sampler or witnessed by | kirby |
| Title of sampler | TET | Telephone number of sampler | |
| Laboratory sample identification | 240326 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | CalPortland Paso Robles | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | 91-42-0014 |
|---|---|---|---|
| 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 | stock pile | |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 3/4 inch | |
| The concrete mix design number | 590RN1010 | Lot number | 1 |
| Sublot number | 1 | Aggregate Mix Number |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||