Sample Record
Owner Lab
- SHN Engineers & Geologists, Incorporated
DIME Sample ID 2025-06-26-120
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 994116 DEA: 010J4104 EFIS: 0119000025 |
|---|---|
| DIST-CO-RTE-PM | 01-HUM-299-30.7/33.4 |
| Award Date | 11/23/2022 |
| Closeout Date | Not set |
| Work Description | Project Name: HUM-299 Curve Improvement |
| Location Description | HUMBOLDT COUNTY NEAR WILLOW CREEK FROM 0.1 MILE EAST OF CEDAR CREEK ROAD TO 0.1 MILE EAST OF EAST FORK WILLOW CREEK BRIDGE |
| QA Service Level | 1 (Verified on 07/29/2022) |
Sample Information
| Sample Taken Date | 06/26/2025 | Sample Unique Key | 120 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | Yes | Date that the sample was received by the laboratory/organization performing the testing | 06/27/2025 |
| Sample type | Quality Control | A brief description of the sample | PCC |
| The quantity of what the sample constitutes | 50 cy | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Andrew | Last name of sampler or witnessed by | Bricken |
| Title of sampler | SI | Telephone number of sampler | |
| Laboratory sample identification | C10012 | 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 | ||
| Structure name | Bid Item | Not set |
Material Information
| Material Type | Concrete | The concrete mix design number | E67538WRF |
|---|---|---|---|
| The truck number from where the sample was collected | 94 | The batch plant ticket number from where the sample was collected | 42615 |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | Discharge from concrete truck into wheelbarrow | Where the material sample would have been placed if not sampled | |
| From Lot No. | Bag Lot No. |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Date Added | Verified? | Release Date | Test Comments | Privacy Level | Actions |
|---|---|---|---|---|---|---|---|---|---|
| No results found. | |||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||