Sample Record

DIME Sample ID 2024-09-24-1

Project Information

Project IdentifiersProject ID: 1000261
DEA: 010M6704
EFIS: 0123000054
DIST-CO-RTE-PM01-DN-101-R27.9/31.2
Award Date06/21/2024
Closeout Date03/21/2025
Work DescriptionMICRO-SURFACING, PAVEMENT DELINEATION, AND REPLACE AC SURFACING.
Location DescriptionDEL NORTE COUNTY NEAR CRESCENT CITY FROM WASHINGTON BOULEVARD OVERCROSSING TO ELK VALLEY CROSS ROAD
QA Service Level1 (Verified on 04/15/2024)

Owner Lab

  • CT D01 - Crescent City Field Laboratory

Sample Information

Sample Taken Date09/24/2024 Sample Unique Key1
Date that the sample was received by the laboratory/organization performing the testing09/24/2024 Sample typeQuality Assurance
A brief description of the sampleAggregate Type III for Slurry Seal The quantity of what the sample constitutes2
From where was the sample collectedJob Site First name of sampler or witnessed byLee
Last name of sampler or witnessed byRenick Title of sampler
Telephone number of sampler(707)666-5918 Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility namekirtland road agg plant
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) Form
Structure unique identifier Structure name
Bid ItemNot set

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)03-26-16-0
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 collectedsample was collected at the crecent city fairgrounds stagng area
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size1/4 inch
The concrete mix design number Lot number
Sublot number Aggregate Mix Number

Submitted Tests

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