Sample Record
Owner Labs
- CT D01 - Boyd Road Field Laboratory
- CT D01 - District 1 Materials Laboratory
DIME Sample ID 2025-04-15-8
Sample Details QR Code
Scan this code to open this Sample Details view on another device.
Project Information
| Project Identifiers | Project ID: 215741 DEA: 01366004 EFIS: 0100000127 |
|---|---|
| DIST-CO-RTE-PM | 01-HUM-101-80.0/84.0 |
| Award Date | 12/29/2022 |
| Closeout Date | Not set |
| Work Description | Indianola Cutoff UC |
| Location Description | HUMBOLDT COUNTY NEAR EUREKA FROM EUREKA SLOUGH BRIDGE TO BAYSIDE CUTOFF |
| QA Service Level | 1 (Verified on 05/17/2021) |
Sample Information
| Sample Taken Date | 04/15/2025 | Sample Unique Key | 8 |
|---|---|---|---|
| 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 | 04/16/2025 |
| Sample type | Quality Assurance | A brief description of the sample | Fiber deck mix |
| The quantity of what the sample constitutes | 480 CY | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Sam | Last name of sampler or witnessed by | Kaplan |
| Title of sampler | ASR | Telephone number of sampler | 707-496-0826 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Eureka Ready mix | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | 04-0314 (Indianola Cutoff UC) | |
| Structure name | Indianola Cutoff UC | Bid Item | Not set |
Material Information
| Material Type | Concrete | The concrete mix design number | E750FBR |
|---|---|---|---|
| The truck number from where the sample was collected | 85 | The batch plant ticket number from where the sample was collected | 41675 |
| Concrete batch plant | Arcata ERM plant | The fabricator/manufacturer designation for the sample | Load 6 |
| A detailed description of where the material sample was collected | Shoveled from back of concrete truck. | Where the material sample would have been placed if not sampled | In the bridge deck. |
| 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: 2025-04-15-8-1 CTM 521-June 2020 (Verified)
DIME Test ID: 2025-04-15-8-2 CTM 521-June 2020 (Verified)