Sample Record

Owner Lab

  • CT D01 - Crescent City Field Laboratory

DIME Sample ID 2026-07-31-36

Project Information

Project IdentifiersProject ID: 1001640
DEA: 010N2904
EFIS: 0123000202
DIST-CO-RTE-PM01-DN-197,199-Var
Award DateNot set
Closeout DateNot set
Work DescriptionREPLACE BRIDGE, EXCAVATION, AND RETAINING WALLS.
Location DescriptionDEL NORTE COUNTY AT VARIOUS LOCATIONS
QA Service Level1 (Verified on 09/22/2025)

Sample Information

Sample Taken Date07/31/2026 Sample Unique Key36
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 testing08/03/2026
Sample typeQuality Assurance A brief description of the sampleCIDH dry hole
The quantity of what the sample constitutes6 CY From where was the sample collectedJob Site
First name of sampler or witnessed byAndre Last name of sampler or witnessed byWoods
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameTidewater Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name Bid ItemNot set

Material Information

Material TypeConcrete The concrete mix design numberSR - Minor Structure NA
The truck number from where the sample was collected The batch plant ticket number from where the sample was collectedXXXXX
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedback of truck Where the material sample would have been placed if not sampled
From Lot No. Bag Lot No.

Submitted Tests

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