Sample Record
Owner Lab
- CT D01 - District 1 Materials Laboratory
DIME Sample ID 2025-11-25-19
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 1000279 DEA: 023H70U4 EFIS: 0223000161 |
|---|---|
| DIST-CO-RTE-PM | 02-TRI-299-15.0/25.7 |
| Award Date | 08/09/2024 |
| Closeout Date | Not set |
| Work Description | RHMA-G, HMA (TYPE A), COLD PLANE AC, & SOLDIER PILE RETAINING WALL. |
| Location Description | TRINITY COUNTY NEAR DEL LOMA FROM 1.0 MILE EAST OF TRINITY RIVER BRIDGE NO.05-0006 TO 0.1 MILE WEST OF PRAIRIE CREEK ROAD |
| QA Service Level | 1 (Verified on 04/30/2024) |
Sample Information
| Sample Taken Date | 11/25/2025 | Sample Unique Key | 19 |
|---|---|---|---|
| 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 | 11/26/2025 |
| Sample type | Acceptance | A brief description of the sample | Type II V |
| The quantity of what the sample constitutes | 250 cy | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Andrew | Last name of sampler or witnessed by | Grinsell |
| Title of sampler | ASR | Telephone number of sampler | (707)-498-4009 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Mercer Fraser Willow Crk | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Bid Item | 67 - STRUCTURAL CONCRETE, BARRIER SLAB |
Material Information
| Material Type | Concrete | The concrete mix design number | MF CL 1 .40 SLAG AE |
|---|---|---|---|
| The truck number from where the sample was collected | 700 | The batch plant ticket number from where the sample was collected | 700162 |
| Concrete batch plant | Mercer Fraser Willow Crk | The fabricator/manufacturer designation for the sample | Mercer Fraser |
| A detailed description of where the material sample was collected | Ready Mix Truck Chute | Where the material sample would have been placed if not sampled | Barrier slab |
| 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: 2025-11-25-19-1 CTM 557-July 2012 (Verified)
DIME Test ID: 2025-11-25-19-2 CTM 556-January 2018 (Verified)