Sample Record
Owner Lab
- CT D01 - Crescent City Field Laboratory
DIME Sample ID 2026-07-22-13
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 | 07/22/2026 | Sample Unique Key | 13 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | No | Date that the sample was received by the laboratory/organization performing the testing | Not set |
| Sample type | Quality Assurance | A brief description of the sample | virgin 1/2" agg |
| The quantity of what the sample constitutes | 8 Bags | From where was the sample collected | Source |
| First name of sampler or witnessed by | Lee | Last name of sampler or witnessed by | Renick |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Tidewater Smith River | 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 | Aggregate | 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 collected | collect full stream and depth off the belt prior the drum | |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 1/2 inch | |
| The concrete mix design number | Lot number | ||
| Sublot number | Aggregate Mix Number |
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. | |||