Sample Record

Owner Lab

  • CT D01 - Crescent City Field Laboratory

DIME Sample ID 2024-12-10-24

Project Information

Project IdentifiersProject ID: 1000854
DEA: 010M7104
EFIS: 0123000058
DIST-CO-RTE-PM01-DN-101-46.18
Award Date04/22/2024
Closeout Date09/23/2025
Work DescriptionResurface Smith River Agricultural Inspection Station
Location DescriptionNot set
QA Service Level1 (Verified on 12/10/2024)

Sample Information

Sample Taken Date12/10/2024 Sample Unique Key24
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 testing12/10/2024
Sample typeQuality Assurance A brief description of the sample1/2 inch cold feed agg
The quantity of what the sample constitutes750 Tons From where was the sample collectedManufacturer
First name of sampler or witnessed bylee Last name of sampler or witnessed byrenick
Title of samplerSuper Genius Telephone number of sampler7076665918
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameTidewater Smith River Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name101/AGG/STATION Bid ItemNot set

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)Starry pitt
The fabricator's/manufacturer's product name for the sample1/2 inch agg The fabricator/manufacturer designation for the sample
The plant number A detailed description of where the material sample was collected1/2 inch cold feed agg
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size1/2 inch
The concrete mix design number Lot number
Sublot number Aggregate Mix Number

Submitted Tests

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