Sample Record

Owner Labs

  • Kleinfelder, Incorporated - San Diego
  • CT D01 - Crescent City Field Laboratory

DIME Sample ID 2024-09-26-2

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 DateNot set
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)

Sample Information

Sample Taken Date09/26/2024 Sample Unique Key2
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 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

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

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Sample File Attachments

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Test File Attachments