Sample Record
Owner Lab
- CT D01 - Crescent City Field Laboratory
DIME Sample ID 2026-04-17-20
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 1000997 DEA: 010J2104 EFIS: 0118000190 |
|---|---|
| DIST-CO-RTE-PM | 01-DN-101-R2.6/23.9 |
| Award Date | 06/06/2025 |
| Closeout Date | Not set |
| Work Description | RHMA, HMA, AND COLD PLANE ASPHALT CONCRETE PAVEMENT. |
| Location Description | DEL NORTE COUNTY IN AND NEAR KLAMATH FROM 1.2 MILES SOUTH OF KLAMATH RIVER OVERFLOW TO 1.1 MILE NORTH OF HAMILTON ROAD |
| QA Service Level | 1 (Verified on 03/21/2025) |
Sample Information
| Sample Taken Date | 04/17/2026 | Sample Unique Key | 20 |
|---|---|---|---|
| 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 | 04/20/2026 |
| Sample type | Quality Assurance | A brief description of the sample | Barrier Transitions |
| The quantity of what the sample constitutes | 9 cy | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Andre | Last name of sampler or witnessed by | Wood |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Tidewater | 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 | Klamath Barriers |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | xx | |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | xx | 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. | |||