Sample Record
Owner Lab
- CT HQ - Sacramento Aggregate Testing Laboratory
DIME Sample ID 2017-11-22-8
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Project Information
| Project Identifiers | Project ID: 212253 DEA: 010H0304 EFIS: 0117000087 |
|---|---|
| DIST-CO-RTE-PM | 01-HUM-96-20.0/24.0, 0.83 |
| Award Date | 02/22/2017 |
| Closeout Date | 01/08/2019 |
| Work Description | REPAIR SLIPOUT |
| Location Description | IN HUMBOLDT COUNTY NEAR WEITCHPEC FROM 3.0 MILES OF KLAMATH RIVER BRIDGE #04-0144 TO 0.6 MILE EAST OF WEITCHPEC ROAD |
| QA Service Level | 1 (Verified on 04/24/2017) |
Sample Information
| Sample Taken Date | 11/22/2017 | Sample Unique Key | 8 |
|---|---|---|---|
| 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 | 12/05/2017 |
| Sample type | Annual Source Testing | A brief description of the sample | 3/4 x 4 PCC Aggregate |
| The quantity of what the sample constitutes | 1 bag | From where was the sample collected | Source |
| First name of sampler or witnessed by | Kat | Last name of sampler or witnessed by | Eagan |
| Title of sampler | Unknown | Telephone number of sampler | Unknown |
| Laboratory sample identification | 17CPCC-0365 | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | Hoopa Valley Ready Mix | Transportation Laboratory (TL) Number | C971931A |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | Not set |
| Structure name | Not set | Bid Item | Not set |
Material Information
| Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | Hoopa Valley Aggregate -- no SMARA -- tribal land |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | Unknown | The fabricator/manufacturer designation for the sample | Unknown |
| The plant number | Unknown | A detailed description of where the material sample was collected | Stockpile |
| Where the material sample would have been placed if not sampled | Unknown | Primary Aggregate Nominal Size | 3/4 inch |
| The concrete mix design number | Unknown | Lot number | Not set |
| Sublot number | Not set | Aggregate Mix Number | Not set |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2017-11-22-8-1 CTM 214-August 2010 (Verified)