Sample Record
Owner Lab
- CT SC - 3667 - Crescent City
DIME Sample ID 2024-11-12-4
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 215620 DEA: 01436404 EFIS: 0100000193 |
|---|---|
| DIST-CO-RTE-PM | 01-DN-101-35.8/36.5 |
| Award Date | 07/11/2022 |
| Closeout Date | Not set |
| Work Description | Dr. Fine Bridge Replacement |
| Location Description | DR. FINE BRIDGE REPLACEMENT FROM LAKE EARL DR TO S FRED D. HAIGHT DR ON HWY 101 ACROSS SMITH RIVER. |
| QA Service Level | 1 (Verified on 03/26/2021) |
Sample Information
| Sample Taken Date | 11/12/2024 | Sample Unique Key | 4 |
|---|---|---|---|
| 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 | 11/15/2024 |
| Sample type | Quality Assurance | A brief description of the sample | Concrete |
| The quantity of what the sample constitutes | 324cy | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Barrett | Last name of sampler or witnessed by | Updegraff |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | C0363 | Linked DIME Sample ID | 2024-11-12 |
| The fabricator/manufacturer/facility name | Tide Water | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Bid Item | Not set |
Material Information
| Material Type | Concrete | The concrete mix design number | FR 3/8s CIDH |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 60696 | |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | From mix 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: 2024-11-12-4-1 CTM 521-June 2020 (Verified)
DIME Test ID: 2024-11-12-4-2 CTM 521-June 2020 (Verified)