Sample Record
Owner Lab
- CT D01 - Crescent City Field Laboratory
DIME Sample ID 2023-06-21-32
Project Information
| Project Identifiers | Project ID: 214579 DEA: 010B0904 EFIS: 0100020444 |
|---|---|
| DIST-CO-RTE-PM | 01-DN-101-8.2/8.7 |
| Award Date | 04/21/2020 |
| Closeout Date | 12/02/2025 |
| Work Description | Panther Creek & Hunter Creek Bridges |
| Location Description | DEL NORTE COUNTY NEAR KLAMATH AT PANTHER CREEK BRIDGE AND AT HUNTER CREEK BRIDGE |
| QA Service Level | 1 (Verified on 03/02/2020) |
Sample Information
| Sample Taken Date | 06/21/2023 | Sample Unique Key | 32 |
|---|---|---|---|
| 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 | 06/21/2023 |
| Sample type | Quality Assurance | A brief description of the sample | 3/4 minus agg base |
| The quantity of what the sample constitutes | 4 Bags | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Lee | Last name of sampler or witnessed by | Renick |
| Title of sampler | TET | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Tidewater Smith River | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Panther Creek | Bid Item | Not set |
Material Information
| Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | 91-53-0015 |
|---|---|---|---|
| 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 | A detailed description of where the material sample was collected | |
| 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
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Date Added | Verified? | Release Date | Test Comments | Privacy Level | Actions |
|---|---|---|---|---|---|---|---|---|---|
| 2023-06-21-32-1 | CTM 216-June 2011: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates | Lee Renick, CT D01 - Crescent City Field Laboratory | 06/23/2023 | 06/26/2023 | No | ||||
| 2023-06-21-32-2 | CTM 231-March 2013: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates Using Nuclear Gages | Lee Renick, CT D01 - Crescent City Field Laboratory | 06/23/2023 | 06/26/2023 | No |
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2023-06-21-32-1 CTM 216-June 2011
DIME Test ID: 2023-06-21-32-2 CTM 231-March 2013
