Sample Record

DIME Sample ID 2024-10-09-4

Project Information

Project IdentifiersProject ID: 215620
DEA: 01436404
EFIS: 0100000193
DIST-CO-RTE-PM01-DN-101-35.8/36.5
Award Date07/11/2022
Closeout DateNot set
Work DescriptionDr. Fine Bridge Replacement
Location DescriptionDR. FINE BRIDGE REPLACEMENT FROM LAKE EARL DR TO S FRED D. HAIGHT DR ON HWY 101 ACROSS SMITH RIVER.
QA Service Level1 (Verified on 03/26/2021)

Owner Lab

  • CT D01 - Crescent City Field Laboratory

Sample Information

Sample Taken Date10/09/2024 Sample Unique Key4
Date that the sample was received by the laboratory/organization performing the testing10/09/2024 Sample typeQuality Assurance
A brief description of the sample1 bag- 3/8" Pea Gravel/1 bag- Washed Sand/1 bag- Blow Sand The quantity of what the sample constitutes3 Bags of Aggregate
From where was the sample collectedManufacturer First name of sampler or witnessed byGary
Last name of sampler or witnessed byZamora Title of samplerTransportation Engineer
Telephone number of sampler7076665469 Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameTidewater Bar Pit
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) Form
Structure unique identifier01-0041 Structure nameDr fine bridge
Bid ItemNot set

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)Tidewater Bar Pit
The fabricator's/manufacturer's product name for the sampleSR 3/8" CIDH The fabricator/manufacturer designation for the sample
The plant number A detailed description of where the material sample was collectedStockpile @ Tidewater Bar Pit
Where the material sample would have been placed if not sampledAbutment 5 Primary Aggregate Nominal Size3/8 inch
The concrete mix design numberSR 3/8" CIDH Lot number
Sublot number Aggregate Mix Number

Submitted Tests

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