Sample Record

DIME Sample ID 2026-07-22-13

Project Information

Project IdentifiersProject ID: 1001370
DEA: 010K9504
EFIS: 0121000034
DIST-CO-RTE-PM01-DN-101-15.6/16.2
Award Date09/22/2025
Closeout DateNot set
Work DescriptionPLACE ROADWAY SECTION, INSTALL GUARDRAIL, & EXCAVATE EXISTING ROADWAY.
Location DescriptionDEL 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 Level1 (Verified on 07/08/2025)

Owner Lab

  • CT D01 - Crescent City Field Laboratory

Sample Information

Sample Taken Date07/22/2026 Sample Unique Key13
Date that the sample was received by the laboratory/organization performing the testingNot set Sample typeQuality Assurance
A brief description of the samplevirgin 1/2" agg The quantity of what the sample constitutes8 Bags
From where was the sample collectedSource First name of sampler or witnessed byLee
Last name of sampler or witnessed byRenick Title of sampler
Telephone number of sampler Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameTidewater Smith River
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) Form
Structure unique identifier Structure name
Bid ItemNot set

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)91-08-0002
The fabricator's/manufacturer's product name for the sample The fabricator/manufacturer designation for the sample
The plant number A detailed description of where the material sample was collectedcollect full stream and depth off the belt prior the drum
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size1/2 inch
The concrete mix design number Lot number
Sublot number Aggregate Mix Number

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
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