Sample Record
Owner Lab
- CT D02 - Redding Northern Regional Laboratory
DIME Sample ID 2021-04-04-4
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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 | 04/04/2021 | Sample Unique Key | 4 |
|---|---|---|---|
| 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 | 04/12/2021 |
| Sample type | Department Acceptance | A brief description of the sample | 3/4-inch Maximum Class 2 Aggregate Base |
| The quantity of what the sample constitutes | Undefined | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Danny | Last name of sampler or witnessed by | Hanson |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | D78773 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Meyers - Anderson Grade | Transportation Laboratory (TL) Number | 897283 |
| 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) | Undefined |
|---|---|---|---|
| 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 | Roadway | |
| 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: 2021-04-04-4-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2021-04-04-4-2 CTM 301-March 2000 (Verified)