Sample Record

DIME Sample ID 2023-05-04-16

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 Date05/04/2023 Sample Unique Key16
Date that the sample was received by the laboratory/organization performing the testing05/05/2023 Sample typeQuality Assurance
A brief description of the sample4x8 concrete cylinders The quantity of what the sample constitutes930 cy
From where was the sample collectedJob Site First name of sampler or witnessed byRiley
Last name of sampler or witnessed byMelvin Title of sampler
Telephone number of sampler Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameNor-Cal
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 collectedLoad 12 The batch plant ticket number from where the sample was collected43948
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedBack of Truck 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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Sample File Attachments

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Test File Attachments