Sample Record
Owner Lab
- CT D05 - Paso Robles Field Laboratory
DIME Sample ID 2024-03-24-1
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 | 03/24/2024 | Sample Unique Key | 1 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | No | Date that the sample was received by the laboratory/organization performing the testing | Not set |
| Sample type | Quality Assurance | A brief description of the sample | 4x8 concrete cylinders |
| The quantity of what the sample constitutes | barrier walls through job limits | From where was the sample collected | Job Site |
| 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 | 240324 | 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 | Concrete | The concrete mix design number | 590RN1010 |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 1960640 | |
| Concrete batch plant | Calportland | The fabricator/manufacturer designation for the sample | mix |
| A detailed description of where the material sample was collected | Back of truck chute | Where the material sample would have been placed if not sampled | |
| From Lot No. | Bag Lot No. |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||