Sample Record
DIME Sample ID 2025-02-27-8
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 994857 DEA: 010H6104 EFIS: 0117000241 |
|---|---|
| DIST-CO-RTE-PM | 01-HUM-36-13.5/R36.1 |
| Award Date | 10/31/2023 |
| Closeout Date | 09/25/2026 |
| Work Description | COLD PLANE AND OVERLAY HMA, & REPLACE GUARDRAILS. |
| Location Description | HUMBOLDT COUNTY AT AND NEAR BRIDGEVILLE FROM 3.4 MILES WEST OF GRIZZLY CREEK BRIDGE TO 0.8 MILE EAST OF SOUTH FORK VAN DUZEN RIVER |
| QA Service Level | 1 (Verified on 06/08/2023) |
Owner Lab
- CT D01 - District 1 Materials Laboratory
Sample Information
| Sample Taken Date | 02/27/2025 | Sample Unique Key | 8 |
|---|---|---|---|
| Date that the sample was received by the laboratory/organization performing the testing | 02/28/2025 | Sample type | Acceptance |
| A brief description of the sample | Type II Cement | The quantity of what the sample constitutes | 30 CY |
| From where was the sample collected | Job Site | First name of sampler or witnessed by | Michele |
| Last name of sampler or witnessed by | Stover | Title of sampler | ASR |
| Telephone number of sampler | 7074966093 | Laboratory sample identification | 0377 |
| Linked DIME Sample ID | The fabricator/manufacturer/facility name | Mercer Fraser - Fortuna | |
| Transportation Laboratory (TL) Number | Inspector Lot Number from the Transportation Laboratory (TL) Form | ||
| Structure unique identifier | 04-0119 | Structure name | South Fork Van Duzen River Bridge |
| Bid Item | Not set |
Material Information
| Material Type | Concrete | The concrete mix design number | MF CL 1 .40 SLAG AE |
|---|---|---|---|
| The truck number from where the sample was collected | 692 | The batch plant ticket number from where the sample was collected | 109121 |
| Concrete batch plant | Mercer Fraser Fortuna concrete plant | The fabricator/manufacturer designation for the sample | 53768 |
| A detailed description of where the material sample was collected | Ready Mix Chute | Where the material sample would have been placed if not sampled | WB approach 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: 2025-02-27-8-1 CTM 556-January 2018 (Verified)
DIME Test ID: 2025-02-27-8-2 CTM 557-July 2012 (Verified)
DIME Test ID: 2025-02-27-8-3 CTM 521-June 2020 (Verified)
DIME Test ID: 2025-02-27-8-4 CTM 521-June 2020 (Verified)
DIME Test ID: 2025-02-27-8-5 CTM 521-June 2020 (Verified)