Sample Record

Owner Lab

  • CT D01 - Crescent City Field Laboratory

DIME Sample ID 2024-07-23-15

Project Information

Project IdentifiersProject ID: 215620
DEA: 01436404
EFIS: 0100000193
DIST-CO-RTE-PM01-DN-101-35.8/36.5
Award Date07/11/2022
Closeout DateNot set
Work DescriptionDr. Fine Bridge Replacement
Location DescriptionDR. FINE BRIDGE REPLACEMENT FROM LAKE EARL DR TO S FRED D. HAIGHT DR ON HWY 101 ACROSS SMITH RIVER.
QA Service Level1 (Verified on 03/26/2021)

Sample Information

Sample Taken Date07/23/2024 Sample Unique Key15
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 testing07/23/2024
Sample typeQuality Assurance A brief description of the sampleStructure Concrete Aggregate
The quantity of what the sample constitutes4 bags From where was the sample collectedSource
First name of sampler or witnessed byGary Last name of sampler or witnessed byZamora
Title of samplerTransportation Engineer Telephone number of sampler7076665469
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameTidewater Starry pit Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier01-0041
Structure nameDr fine bridge Bid ItemNot set

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)Stary Pit
The fabricator's/manufacturer's product name for the sampleSR-Min St Nasr Minor Structure NA The fabricator/manufacturer designation for the sample
The plant numberStary Pit A detailed description of where the material sample was collectedPlant Stockpiles
Where the material sample would have been placed if not sampledSW Retaining Wall Primary Aggregate Nominal Size3/4 inch
The concrete mix design numberSR Minor Structure NA Lot number
Sublot number Aggregate Mix Number

Submitted Tests

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