Sample Record
Owner Labs
- CT D01 - District 1 Materials Laboratory
- CT HQ - FFS - Field Investigation Team (FIT)
- CT HQ - FFS - Skid Testing
DIME Sample ID 2025-04-14-5
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 | Not set |
| 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) |
Sample Information
| Sample Taken Date | 04/14/2025 | Sample Unique Key | 5 |
|---|---|---|---|
| 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 | 04/14/2025 |
| Sample type | Quality Assurance | A brief description of the sample | PCC |
| The quantity of what the sample constitutes | 1 Lane | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | shawn | Last name of sampler or witnessed by | Marscheider |
| Title of sampler | ASR | Telephone number of sampler | 7604887998 |
| Laboratory sample identification | 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 | ||
| Structure name | South Fork Van Duzen River Bridge | Bid Item | Not set |
Material Information
| Material Type | Roadway/Bridge Surface | Pavement Surface Type | PCC (Portland Cement Concrete) |
|---|---|---|---|
| Type of Traffic Control Provided | Stationary Lane Closure | DIST-CO-RTE | 01-HUM-36 |
| Direction of Travel | East | Post Mile | 35.00 |
| Lanes to be Tested | Lane #1,Lane #2 | Station |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2025-04-14-5-2 CTM 342-August 2012 (Verified)