Sample Record
Owner Lab
- CT D01 - Boyd Road Field Laboratory
DIME Sample ID 2024-07-17-21
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 995028 DEA: 010H4314 EFIS: 0117000214 |
|---|---|
| DIST-CO-RTE-PM | 01-HUM-299-R11.0/R11.4 |
| Award Date | 09/26/2023 |
| Closeout Date | 09/05/2025 |
| Work Description | Project Name: Korbel Wall (Description of Work: CONSTRUCT RETAINING WALL, RECONSTRUCT ROADWAY, & REPLACE CULVERT) |
| Location Description | HUMBOLDT COUNTY ABOUT 6 MILES EAST OF BLUE LAKE FROM NORTH FORK MAD RIVER BRIDGE TO 0.4 MILE EAST OF NORTH FORK MAD RIVER BRIDGE |
| QA Service Level | 1 (Verified on 08/07/2023) |
Sample Information
| Sample Taken Date | 07/17/2024 | Sample Unique Key | 21 |
|---|---|---|---|
| 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 | 07/18/2024 |
| Sample type | Quality Control | A brief description of the sample | Type II/V Cement |
| The quantity of what the sample constitutes | 54 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 | Eureka Ready mix | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | 12-0E0058 | |
| Structure name | Korbel Wall | Bid Item | Not set |
Material Information
| Material Type | Concrete | The concrete mix design number | E400F |
|---|---|---|---|
| The truck number from where the sample was collected | 72 | The batch plant ticket number from where the sample was collected | 36988 |
| Concrete batch plant | Arcata Eureka Ready Mix | The fabricator/manufacturer designation for the sample | Batch |
| A detailed description of where the material sample was collected | Concrete Truck Chute | Where the material sample would have been placed if not sampled | Waler 2 |
| 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: 2024-07-17-21-4 CTM 557-July 2012 (Verified)
DIME Test ID: 2024-07-17-21-9 CTM 556-January 2018 (Verified)