Sample Record
Owner Lab
- CT D02 - Redding Northern Regional Laboratory
DIME Sample ID 2024-05-08-75
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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 | 05/08/2024 | Sample Unique Key | 75 |
|---|---|---|---|
| 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 | 05/09/2024 |
| Sample type | Acceptance | A brief description of the sample | 2 bags of Shoulder Backing |
| The quantity of what the sample constitutes | 2 bags | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Daniel | Last name of sampler or witnessed by | hansen |
| Title of sampler | Consultant | Telephone number of sampler | |
| Laboratory sample identification | D79520 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Tullis Inc | Transportation Laboratory (TL) Number | 851263 |
| 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) | Tullis |
|---|---|---|---|
| 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 | Stockpile | |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 1-1/2 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: 2024-05-08-75-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2024-05-08-75-2 CTM 205-December 2010 (Verified)
DIME Test ID: 2024-05-08-75-3 CTM 212-May 2010 (Verified)
DIME Test ID: 2024-05-08-75-4 CTM 217-June 2011 (Verified)
DIME Test ID: 2024-05-08-75-5 CTM 229-June 2011 (Verified)
DIME Test ID: 2024-05-08-75-6 CTM 205-December 2010 (Verified)