Sample Record
Owner Lab
- CT D01 - Crescent City Field Laboratory
DIME Sample ID 2026-07-02-19
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 1001370 DEA: 010K9504 EFIS: 0121000034 |
|---|---|
| DIST-CO-RTE-PM | 01-DN-101-15.6/16.2 |
| Award Date | 09/22/2025 |
| Closeout Date | Not set |
| Work Description | PLACE ROADWAY SECTION, INSTALL GUARDRAIL, & EXCAVATE EXISTING ROADWAY. |
| Location Description | DEL NORTE COUNTY ABOUT 10.0 MILES SOUTH OF CRESCENT CITY FROM 3.0 MILES NORTH TO 3.6 MILES NORTH OF WILSON CREEK BRIDGE |
| QA Service Level | 1 (Verified on 07/08/2025) |
Sample Information
| Sample Taken Date | 07/02/2026 | 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 | 07/03/2026 |
| Sample type | Quality Assurance | A brief description of the sample | 4x8 concrete cylinders |
| The quantity of what the sample constitutes | 24 CY | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Andre | Last name of sampler or witnessed by | Woods |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Tidewater Constractors | 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 | S Minor Structure |
|---|---|---|---|
| The truck number from where the sample was collected | 122 | The batch plant ticket number from where the sample was collected | 3810 |
| Concrete batch plant | Tidewater Contractor | The fabricator/manufacturer designation for the sample | |
| A detailed description of where the material sample was collected | Dischard fron 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: 2026-07-02-19-1 CTM 521-June 2020 (Verified)
DIME Test ID: 2026-07-02-19-2 CTM 521-June 2020 (Verified)