Sample Record

DIME Sample ID 2022-10-04-91

Project Information

Project IdentifiersProject ID: 993279
DEA: 010E0904
EFIS: 0113000123
DIST-CO-RTE-PM01-MEN-20-33.3/34.4
Award Date05/06/2022
Closeout Date04/22/2026
Work DescriptionCONSTRUCT NEW BRIDGE, REMOVE TWO BRIDGES, EARTHWORK AND PAVING. (Bridge No. 10-0310)
Location DescriptionMENDOCINO COUNTY NEAR UKIAH FROM 0.3 MILE WEST OF RUSSIAN RIVER BRIDGE AND OVERHEAD TO 0.3 MILE EAST OF COUNTY ROAD 144
QA Service Level1 (Verified on 10/04/2021)

Owner Lab

  • CT SC - 3667 - Redwood Valley/Fort Bragg

Sample Information

Sample Taken Date10/04/2022 Sample Unique Key91
Date that the sample was received by the laboratory/organization performing the testing10/05/2022 Sample typeQuality Assurance
A brief description of the sample4x8 concrete cylinders The quantity of what the sample constitutes167 CY
From where was the sample collectedJob Site First name of sampler or witnessed byRylie
Last name of sampler or witnessed byMelvin Title of samplerARE
Telephone number of sampler Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameNorCal Recycled Rock & Aggregates, Inc.
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) Form
Structure unique identifier10-0310 Structure nameRussian River BOH
Bid ItemNot set

Material Information

Material TypeConcrete The concrete mix design number718034A
The truck number from where the sample was collected9 The batch plant ticket number from where the sample was collected42368
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedBack of truck discharge chute Where the material sample would have been placed if not sampled
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
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