Sample Record
Owner Labs
- CT D01 - Boyd Road Field Laboratory
- CT D01 - District 1 Materials Laboratory
DIME Sample ID 2024-10-22-2
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 994239 DEA: 010H0214 EFIS: 0118000107 |
|---|---|
| DIST-CO-RTE-PM | 01-HUM-169-19.0/33.0 |
| Award Date | 12/07/2022 |
| Closeout Date | 08/21/2025 |
| Work Description | Cappell Walls |
| Location Description | HUMBOLDT COUNTY NEAR PECWAN FROM 3.4 MILES WEST OF CAPPELL CREEK BRIDGE TO 0.4 MILE EAST OF WEITCHPEC SCHOOL ROAD (Description of Work: Construct Soldier Pile Wall, Install Drainage, Place HMA (Type A)) |
| QA Service Level | 1 (Verified on 09/22/2022) |
Sample Information
| Sample Taken Date | 10/22/2024 | Sample Unique Key | 2 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | No | Date that the sample was received by the laboratory/organization performing the testing | 10/23/2024 |
| Sample type | Quality Assurance | A brief description of the sample | Type II/V Cement |
| The quantity of what the sample constitutes | 102 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Joe | Last name of sampler or witnessed by | Pedroni |
| Title of sampler | ASR | Telephone number of sampler | (707)510-6120 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Mercer Fraser Willow Crk | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | 12-04E0051 | |
| Structure name | School Wall | Bid Item | Not set |
Material Information
| Material Type | Concrete | The concrete mix design number | MFWCCL2SLAG |
|---|---|---|---|
| The truck number from where the sample was collected | Rental 2 | The batch plant ticket number from where the sample was collected | WC107156 |
| Concrete batch plant | Willow Creek Mercer Fraser Plant | The fabricator/manufacturer designation for the sample | Batch |
| A detailed description of where the material sample was collected | Concrete Chute | Where the material sample would have been placed if not sampled | Structural Concrete, Barrier Slab |
| From Lot No. | Bag Lot No. |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2024-10-22-2-1 CTM 521-June 2020 (Verified)
DIME Test ID: 2024-10-22-2-2 CTM 521-June 2020 (Verified)
DIME Test ID: 2024-10-22-2-3 CTM 521-June 2020 (Verified)