Sample Record

Owner Lab

  • CT D01 - Crescent City Field Laboratory

DIME Sample ID 2025-03-18-1

Project Information

Project IdentifiersProject ID: 215620
DEA: 01436404
EFIS: 0100000193
DIST-CO-RTE-PM01-DN-101-35.8/36.5
Award Date07/11/2022
Closeout DateNot set
Work DescriptionDr. Fine Bridge Replacement
Location DescriptionDR. FINE BRIDGE REPLACEMENT FROM LAKE EARL DR TO S FRED D. HAIGHT DR ON HWY 101 ACROSS SMITH RIVER.
QA Service Level1 (Verified on 03/26/2021)

Sample Information

Sample Taken Date03/18/2025 Sample Unique Key1
Will the laboratory/organization for which you are a member perform testing on this material sample?Yes Date that the sample was received by the laboratory/organization performing the testing03/18/2025
Sample typeQuality Assurance A brief description of the sample3/4" AGG
The quantity of what the sample constitutes150 From where was the sample collectedSource
First name of sampler or witnessed bylee Last name of sampler or witnessed byrenick
Title of sampler Telephone number of sampler7076665918
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameTidewater Starry pit Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name Bid ItemNot set

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)91-08-0002
The fabricator's/manufacturer's product name for the sampleTIDEWATER The fabricator/manufacturer designation for the sampleHUFFMAN BAR
The plant number A detailed description of where the material sample was collectedSTOCK P[ILE
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size3/4 inch
The concrete mix design numberSR-MINOR STRUCTURE NA Lot number
Sublot number Aggregate Mix Number

Submitted Tests

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