Sample Record

DIME Sample ID 2025-08-13-23

Project Information

Project IdentifiersProject ID: 1001111
DEA: 010M6504
EFIS: 0123000052
DIST-CO-RTE-PM01-HUM-101-125.7/R131.7
Award Date06/09/2025
Closeout Date11/03/2025
Work DescriptionREPLACE AC SURFACING AND DELINEATION.
Location DescriptionHUMBOLDT COUNTY ON ROUTE 101 FROM 0.40 MILE SOUTH OF SOUTH PRAIRIE CREEK UNDERCROSSING TO 2.76 MILES NORTH OF BOYES CREEK VIADUCT
QA Service Level1 (Verified on 05/05/2025)

Owner Lab

  • CT D01 - Crescent City Field Laboratory

Sample Information

Sample Taken Date08/13/2025 Sample Unique Key23
Date that the sample was received by the laboratory/organization performing the testing08/13/2025 Sample typeQuality Assurance
A brief description of the samplesample at 1250 tons The quantity of what the sample constitutes2 bags agg
From where was the sample collectedManufacturer First name of sampler or witnessed byJason
Last name of sampler or witnessed byHuett Title of samplerTET
Telephone number of sampler7078155590 Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameKernen Blue Lake Plant
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)kernen
The fabricator's/manufacturer's product name for the sample The fabricator/manufacturer designation for the sample
The plant number A detailed description of where the material sample was collectedplant
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size1/2 inch
The concrete mix design number Lot number
Sublot number Aggregate Mix Number

Submitted Tests

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