Sample Record

DIME Sample ID 2025-09-12-7

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 Date09/12/2025 Sample Unique Key7
Date that the sample was received by the laboratory/organization performing the testing09/12/2025 Sample typeQuality Assurance
A brief description of the sample3/4" agg, 3/8" pea gravel, fine sand, coarse sand The quantity of what the sample constitutes4 bags of aggregate
From where was the sample collectedSupplier First name of sampler or witnessed byGary
Last name of sampler or witnessed byZamora Title of sampler
Telephone number of sampler7076665469 Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameTidewater Bar Plant
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) Form
Structure unique identifier01-0020 Structure nameDr Fine Bridge
Bid ItemNot set

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)Tidewater Bar Plant
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 collectedfrom stockpiles @ Tidewater Bar Plant
Where the material sample would have been placed if not sampledSpan 1 & 2 soffit/stems Primary Aggregate Nominal Size3/4 inch
The concrete mix design numberSR Structure Lot number
Sublot number Aggregate Mix Number

Submitted Tests

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