Sample Record
Owner Lab
- CT D01 - District 1 Materials Laboratory
DIME Sample ID 2026-06-03-14
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 1001608 DEA: 01464804 EFIS: 0100000266 |
|---|---|
| DIST-CO-RTE-PM | 01-HUM-101-1.1/2.5 |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | INSTALL SOLDIER PILE WALL, AND REMOVE AND REPLACE ROADWAY SECTION. |
| Location Description | HUMBOLDT COUNTY NEAR GARBERVILLE FROM 0.5 MILE SOUTH TO 0.9 MILE NORTH OF RICHARDSON GROVE UNDERCROSSING |
| QA Service Level | 1 (Verified on 09/19/2025) |
Sample Information
| Sample Taken Date | 06/03/2026 | Sample Unique Key | 14 |
|---|---|---|---|
| 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 | 06/03/2026 |
| Sample type | Quality Assurance | A brief description of the sample | Structure Backfill |
| The quantity of what the sample constitutes | 8 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 | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Mercer Fraser - Fortuna | 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 | MFSCL1675.45 4500 PSI |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 114478 | |
| 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
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2026-06-03-14-1 CTM 521-June 2020 (Verified)