Sample Record
Owner Labs
- CT D01 - Boyd Road Field Laboratory
- CT D01 - District 1 Materials Laboratory
DIME Sample ID 2026-08-31-25
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 994751 DEA: 010C5004 EFIS: 0112000292 |
|---|---|
| DIST-CO-RTE-PM | 01-HUM-36-11.3/34.6 |
| Award Date | 03/02/2023 |
| Closeout Date | Not set |
| Work Description | Project Name: Bridge Rail Replacement - 3 Bridges |
| Location Description | Hely Creek, Little Larabee Creek and Butte Creek Bridge. |
| QA Service Level | 1 (Verified on 04/27/2023) |
Sample Information
| Sample Taken Date | 08/31/2026 | Sample Unique Key | 25 |
|---|---|---|---|
| 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 | 09/02/2026 |
| Sample type | Quality Assurance | A brief description of the sample | Type II/V cement |
| The quantity of what the sample constitutes | 133 CY | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Max | Last name of sampler or witnessed by | Mather |
| Title of sampler | ASR | Telephone number of sampler | 707-498-3078 |
| 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 | 04-0316 | |
| Structure name | Butte Creek Bridge | Bid Item | Not set |
Material Information
| Material Type | Concrete | The concrete mix design number | MF CL 1 .40 SLAG AE |
|---|---|---|---|
| The truck number from where the sample was collected | 697 | The batch plant ticket number from where the sample was collected | 53387-1 |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | Discharge chute from back of truck | Where the material sample would have been placed if not sampled | Stage 1 Stem & Soffit |
| 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: 2026-08-31-25-1 CTM 521-June 2020 (Verified)