Sample Record
Owner Lab
- CT D02 - Redding Northern Regional Laboratory
DIME Sample ID 2023-06-29-67
Sample is locked from editing. info
Project Information
| Project Identifiers | Project ID: 994785 DEA: 023H32U4 EFIS: 0221000164 |
|---|---|
| DIST-CO-RTE-PM | 02-SIS-I5-2.5/R15.9 |
| Award Date | 04/28/2023 |
| Closeout Date | Not set |
| Work Description | Roadway rehabilitation and bridge improvements along I5 in Mount Shasta |
| Location Description | SIS I5 2.5/R15.9 |
| QA Service Level | 1 (Verified on 05/03/2023) |
Sample Information
| Sample Taken Date | 06/29/2023 | Sample Unique Key | 67 |
|---|---|---|---|
| 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 | 07/05/2023 |
| Sample type | Department Acceptance | A brief description of the sample | 2 bags of 3/4-inch Maximum Class 2 Aggregate Base |
| The quantity of what the sample constitutes | 100 tons | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Danny | Last name of sampler or witnessed by | Hansen |
| Title of sampler | Consultant | Telephone number of sampler | |
| Laboratory sample identification | D79285 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Tullis | Transportation Laboratory (TL) Number | 851260 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Bid Item | Not set |
Material Information
| Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | 00-00-0000 |
|---|---|---|---|
| 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 | Grindings from NB 5 | |
| 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: 2023-06-29-67-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2023-06-29-67-2 CTM 217-June 2011 (Verified)
DIME Test ID: 2023-06-29-67-3 CTM 229-June 2011 (Verified)
DIME Test ID: 2023-06-29-67-4 CTM 301-March 2000 (Verified)
