Sample Record
Owner Lab
- CT D02 - Redding Northern Regional Laboratory
DIME Sample ID 2023-04-13-50
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Project Information
| Project Identifiers | Project ID: 215310 DEA: 020J4504 EFIS: 0219000125 |
|---|---|
| DIST-CO-RTE-PM | 02-SIS-97-0/0.0001 |
| Award Date | 06/30/2022 |
| Closeout Date | Not set |
| Work Description | DORRIS TMS |
| Location Description | SISKIYOU COUNTY AT AND NEAR DORRIS AT VARIOUS LOCATIONS FROM 0.3 MILE SOUTH OF RICHARDSON ROAD TO 0.1 MILE NORTH OF DORRIS BROWNWELL ROAD |
| QA Service Level | 1 (Verified on 11/09/2020) |
Sample Information
| Sample Taken Date | 04/13/2023 | Sample Unique Key | 50 |
|---|---|---|---|
| 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 | 04/14/2023 |
| Sample type | Department Acceptance | A brief description of the sample | 4 bags of 3/4-inch Maximum Class 2 Aggregate Base |
| The quantity of what the sample constitutes | Up to 2000 cy | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Cindy | Last name of sampler or witnessed by | Bryant |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | D79221 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Sousa Ready Mix – Mount Shasta | Transportation Laboratory (TL) Number | 858107 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | 91-47-0015::Springhill Mine - Sousa Ready Mix |
|---|---|---|---|
| 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 | |
| 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 |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2023-04-13-50-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2023-04-13-50-2 CTM 229-June 2011 (Verified)
DIME Test ID: 2023-04-13-50-3 CTM 301-March 2000 (Verified)