Sample Record
DIME Sample ID 2023-05-16-19
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 994062 DEA: 010F5104 EFIS: 0116000015 |
|---|---|
| DIST-CO-RTE-PM | 01-MEN,HUM-101-R106.2/T106.8 |
| Award Date | 09/15/2022 |
| Closeout Date | 01/22/2024 |
| Work Description | SOUTH FORK EEL RIVER BRIDGE SEISMIC |
| Location Description | MENDOCINO AND HUMBOLDT COUNTIES NEAR COOKS VALLEY FROM 0.4 MILE SOUTH OF SOUTH FORK EEL RIVER BRIDGE TO 0.1 MILE NORTH OF ROUTE 271 |
| QA Service Level | 1 (Verified on 06/27/2022) |
Owner Lab
- CT D01 - District 1 Materials Laboratory
Sample Information
| Sample Taken Date | 05/16/2023 | Sample Unique Key | 19 |
|---|---|---|---|
| Date that the sample was received by the laboratory/organization performing the testing | 05/17/2023 | Sample type | Quality Assurance |
| A brief description of the sample | PCC cylinders | The quantity of what the sample constitutes | 2 - 6x12 cylinders |
| From where was the sample collected | Job Site | First name of sampler or witnessed by | Tyler |
| Last name of sampler or witnessed by | Reyes | Title of sampler | |
| Telephone number of sampler | Laboratory sample identification | C0154 | |
| Linked DIME Sample ID | The fabricator/manufacturer/facility name | Mercer Fraser - Fortuna | |
| Transportation Laboratory (TL) Number | Inspector Lot Number from the Transportation Laboratory (TL) Form | ||
| Structure unique identifier | Structure name | ||
| Bid Item | Not set |
Material Information
| Material Type | Concrete | The concrete mix design number | none |
|---|---|---|---|
| The truck number from where the sample was collected | 3402 | The batch plant ticket number from where the sample was collected | none |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | Back of Truck | Where the material sample would have been placed if not sampled | |
| From Lot No. | Bag Lot No. |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2023-05-16-19-1 CTM 521-June 2020 (Verified)