Sample Record
DIME Sample ID 2024-10-23-5
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 215741 DEA: 01366004 EFIS: 0100000127 |
|---|---|
| DIST-CO-RTE-PM | 01-HUM-101-80.0/84.0 |
| Award Date | 12/29/2022 |
| Closeout Date | Not set |
| Work Description | Indianola Cutoff UC |
| Location Description | HUMBOLDT COUNTY NEAR EUREKA FROM EUREKA SLOUGH BRIDGE TO BAYSIDE CUTOFF |
| QA Service Level | 1 (Verified on 05/17/2021) |
Owner Lab
- CT D01 - Boyd Road Field Laboratory
Sample Information
| Sample Taken Date | 10/23/2024 | Sample Unique Key | 5 |
|---|---|---|---|
| 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 | This is CISS pile concrete. | The quantity of what the sample constitutes | 80 cy |
| From where was the sample collected | Job Site | First name of sampler or witnessed by | Adlai |
| Last name of sampler or witnessed by | Evans | Title of sampler | ASR |
| Telephone number of sampler | 951-325-3144 | Laboratory sample identification | |
| Linked DIME Sample ID | The fabricator/manufacturer/facility name | Eureka Ready mix | |
| Transportation Laboratory (TL) Number | Inspector Lot Number from the Transportation Laboratory (TL) Form | ||
| Structure unique identifier | 04-0314 | Structure name | Indianola Cutoff UC |
| Bid Item | Not set |
Material Information
| Material Type | Concrete | The concrete mix design number | CE675WH |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 39759 | |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | Back of Truck | Where the material sample would have been placed if not sampled | |
| 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: 2024-10-23-5-1 CTM 521-June 2020 (Verified)