Sample Record
Owner Lab
- CT D01 - Crescent City Field Laboratory
DIME Sample ID 2024-09-17-29
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 215620 DEA: 01436404 EFIS: 0100000193 |
|---|---|
| DIST-CO-RTE-PM | 01-DN-101-35.8/36.5 |
| Award Date | 07/11/2022 |
| Closeout Date | Not set |
| Work Description | Dr. Fine Bridge Replacement |
| Location Description | DR. FINE BRIDGE REPLACEMENT FROM LAKE EARL DR TO S FRED D. HAIGHT DR ON HWY 101 ACROSS SMITH RIVER. |
| QA Service Level | 1 (Verified on 03/26/2021) |
Sample Information
| Sample Taken Date | 09/17/2024 | Sample Unique Key | 29 |
|---|---|---|---|
| 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 | 09/17/2024 |
| Sample type | Quality Assurance | A brief description of the sample | 2 bags of sand, 1 bag of 3/8 pea gravel |
| The quantity of what the sample constitutes | 3 Bags of Aggregate | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Gary | Last name of sampler or witnessed by | Zamora |
| Title of sampler | Transportation Engineer | Telephone number of sampler | 7076665469 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Tidewater Starry pit | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | 01-0041 | |
| Structure name | Dr fine bridge | Bid Item | Not set |
Material Information
| Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | Tidewater Stary Pit |
|---|---|---|---|
| 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 | Sample was taken at the plant | |
| Where the material sample would have been placed if not sampled | Pier 4(left) | Primary Aggregate Nominal Size | 3/8 inch |
| The concrete mix design number | FR-3/8 CIDH | Lot number | |
| Sublot number | Aggregate Mix Number |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Date Added | Verified? | Release Date | Test Comments | Privacy Level | Actions |
|---|---|---|---|---|---|---|---|---|---|
| No results found. | |||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||