Sample Record
Owner Labs
- CT D01 - Boyd Road Field Laboratory
- CT D01 - District 1 Materials Laboratory
DIME Sample ID 2024-05-30-10
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 994115 DEA: 010H1914 EFIS: 0117000211 |
|---|---|
| DIST-CO-RTE-PM | 01-HUM-96-27/27.4 |
| Award Date | 12/16/2022 |
| Closeout Date | 07/24/2025 |
| Work Description | Project Name: Bluff Creek Wall |
| Location Description | HUMBOLDT COUNTY NEAR WEITCHPEC FROM 0.6 MILE TO 0.2 MILE WEST OF BLUFF CREEK ROAD |
| QA Service Level | 1 (Verified on 07/29/2022) |
Sample Information
| Sample Taken Date | 05/30/2024 | Sample Unique Key | 10 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | No | Date that the sample was received by the laboratory/organization performing the testing | 05/31/2024 |
| Sample type | Quality Assurance | A brief description of the sample | Three cylinders. |
| The quantity of what the sample constitutes | 130 CY | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Sam | Last name of sampler or witnessed by | Kaplan |
| Title of sampler | ASR | Telephone number of sampler | 707-496-0826 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Mercer Fraser Willow Crk | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Bluff Creek Retaining Wall | Bid Item | Not set |
Material Information
| Material Type | Concrete | The concrete mix design number | MFCL1.45SLWCClass1 |
|---|---|---|---|
| The truck number from where the sample was collected | 695 | The batch plant ticket number from where the sample was collected | 002 |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | from mix 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: 2024-05-30-10-1 CTM 521-June 2020 (Verified)