Sample Record
DIME Sample ID 2026-09-03-13
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 1001383 DEA: 010P9004 EFIS: 0125000088 |
|---|---|
| DIST-CO-RTE-PM | 01-HUM-36-19.1/20.1 |
| Award Date | 03/10/2025 |
| Closeout Date | Not set |
| Work Description | REPAIR STORM DAMAGE. REPAIR ROADWAY EMBANKMENT WITH RETAINING WALL |
| Location Description | IN HUMBOLDT COUNTY NEAR BRIDGEVILLE FROM 1.1 TO 0.1 MILE WEST OF VAN DUZEN RIVER BRIDGE. |
| QA Service Level | 1 (Verified on 07/11/2025) |
Owner Lab
- CT D01 - District 1 Materials Laboratory
Sample Information
| Sample Taken Date | 09/03/2026 | Sample Unique Key | 13 |
|---|---|---|---|
| Date that the sample was received by the laboratory/organization performing the testing | 09/04/2026 | Sample type | Verification |
| A brief description of the sample | PCC | The quantity of what the sample constitutes | 100 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 | |
| Telephone number of sampler | Laboratory sample identification | C0457 | |
| 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 | Structure name | ||
| 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 | The batch plant ticket number from where the sample was collected | 115755 | |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | Back of the truck Chute | 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: 2026-09-03-13-1 CTM 521-June 2020 (Verified)
DIME Test ID: 2026-09-03-13-2 CTM 521-June 2020 (Verified)