Sample Record
Owner Labs
- Kleinfelder, Incorporated - San Diego
- CT D01 - Crescent City Field Laboratory
DIME Sample ID 2024-09-26-2
Project Information
Project Identifiers | Project ID: 1000261 DEA: 010M6704 EFIS: 0123000054 |
---|---|
DIST-CO-RTE-PM | 01-DN-101-R27.9/31.2 |
Award Date | 06/21/2024 |
Closeout Date | Not set |
Work Description | MICRO-SURFACING, PAVEMENT DELINEATION, AND REPLACE AC SURFACING. |
Location Description | DEL NORTE COUNTY NEAR CRESCENT CITY FROM WASHINGTON BOULEVARD OVERCROSSING TO ELK VALLEY CROSS ROAD |
QA Service Level | 1 (Verified on 04/15/2024) |
Sample Information
Sample Taken Date | 09/26/2024 | Sample Unique Key | 2 |
---|---|---|---|
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 | 09/24/2024 |
Sample type | Quality Assurance | A brief description of the sample | Aggregate Type III for Slurry Seal |
The quantity of what the sample constitutes | 2 | From where was the sample collected | Job Site |
First name of sampler or witnessed by | Lee | Last name of sampler or witnessed by | Renick |
Title of sampler | Telephone number of sampler | (707)666-5918 | |
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | kirtland road agg plant | 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) | 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 collected | sample was collected at the crecent city fairgrounds stagng area | |
Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 1/4 inch | |
The concrete mix design number | Lot number | ||
Sublot number | 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. |