Sample Record
Owner Lab
- CT D02 - Redding Northern Regional Laboratory
DIME Sample ID 2020-02-25-12
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Project Information
| Project Identifiers | Project ID: 212501 DEA: 022E4804 EFIS: 0200000586 |
|---|---|
| DIST-CO-RTE-PM | 02-SIS-96,263-103.1/103.6,56.8/57.2 |
| Award Date | 12/14/2018 |
| Closeout Date | 12/01/2021 |
| Work Description | BRIDGE REPLACEMENT |
| Location Description | SISKIYOU COUNTY ABOUT 8 MILES NORTH OF YREKA ON ROUTE 96 FROM 0.5 MILE WEST TO 0.2 MILE EAST OF ROUTE 263 AND ON ROUTE 263 FROM 0.3 MILE NORTH OF SHASTA RIVER BRIDGE #02-0014 TO ROUTE 96 |
| QA Service Level | 1 (Verified on 06/06/2017) |
Sample Information
| Sample Taken Date | 02/25/2020 | Sample Unique Key | 12 |
|---|---|---|---|
| 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 testing | 02/25/2020 |
| Sample type | Department Acceptance | A brief description of the sample | Coarse Aggregate (1 inch x No. 4) |
| The quantity of what the sample constitutes | 60 yd (Day's Concrete) | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Karen | Last name of sampler or witnessed by | Spliethof |
| Title of sampler | TET | Telephone number of sampler | |
| Laboratory sample identification | D78333A | Linked DIME Sample ID | 2020-02-25-13 |
| The fabricator/manufacturer/facility name | Mountain Ready Mix | Transportation Laboratory (TL) Number | 001681 |
| 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) | 91-47-0014::MOORES GRAVEL |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | Unknown | The fabricator/manufacturer designation for the sample | Unknown |
| The plant number | Unknown | A detailed description of where the material sample was collected | Belt at Plant |
| Where the material sample would have been placed if not sampled | Left Retaining Wall Footing of Abutment 8 | Primary Aggregate Nominal Size | 1 inch |
| The concrete mix design number | CT675S | Lot number | Unknown |
| Sublot number | Unknown | Aggregate Mix Number | Not set |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2020-02-25-12-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2020-02-25-12-2 CTM 227-December 2014 (Verified)