Sample Record
Owner Lab
- CT D02 - Redding Northern Regional Laboratory
DIME Sample ID 2020-07-23-31
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Project Information
| Project Identifiers | Project ID: 213569 DEA: 024F2104 EFIS: 0212000072 |
|---|---|
| DIST-CO-RTE-PM | 02-MOD-299-0.5/1.0 |
| Award Date | 12/20/2018 |
| Closeout Date | 11/15/2021 |
| Work Description | Butte and Ash Creek Bridge Replacement |
| Location Description | Construction of Butte Creek Bridge and Ash Creek Bridge on Route 299 at Adin |
| QA Service Level | 1 (Verified on 06/26/2019) |
Sample Information
| Sample Taken Date | 07/23/2020 | Sample Unique Key | 31 |
|---|---|---|---|
| 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 | 07/27/2020 |
| Sample type | Department Acceptance | A brief description of the sample | Shoulder Backing |
| The quantity of what the sample constitutes | not identified | From where was the sample collected | Source |
| First name of sampler or witnessed by | Cindy | Last name of sampler or witnessed by | Bryant |
| Title of sampler | TET | Telephone number of sampler | |
| Laboratory sample identification | D78535 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Eagle Peak Rock and Paving, Alturas, CA | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | T101 C 853441 | Structure unique identifier | |
| Structure name | Bid Item | Not set |
Material Information
| Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | 91-25-0029 |
|---|---|---|---|
| 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 | Stockpile @ Plant | |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 3/4 inch | |
| The concrete mix design number | Lot number | ||
| Sublot number | 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: 2020-07-23-31-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2020-07-23-31-2 CTM 217-June 2011 (Verified)
DIME Test ID: 2020-07-23-31-3 CTM 229-June 2011 (Verified)