Sample Record

DIME Sample ID 2025-06-20-5

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)

Owner Lab

  • CT D01 - Crescent City Field Laboratory

Sample Information

Sample Taken Date06/20/2025 Sample Unique Key5
Date that the sample was received by the laboratory/organization performing the testing06/20/2025 Sample typeQuality Assurance
A brief description of the sampleBlow Sand The quantity of what the sample constitutes40 yrds
From where was the sample collectedManufacturer First name of sampler or witnessed bylee
Last name of sampler or witnessed byrenick Title of samplerTET
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 sampleBlow Sand/ Blend Sand The fabricator/manufacturer designation for the sample
The plant number A detailed description of where the material sample was collectedBlow sand back drug mini stock pile made by loader
Where the material sample would have been placed if not sampledPIER 5 Primary Aggregate Nominal Sizefine
The concrete mix design numberSR- 3/8 MCB Lot number
Sublot number Aggregate Mix Number

Submitted Tests

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