Sample Record
Owner Lab
- CT D01 - Fortuna Field Laboratory
DIME Sample ID 2024-08-05-2
Project Information
| Project Identifiers | Project ID: 994857 DEA: 010H6104 EFIS: 0117000241 |
|---|---|
| DIST-CO-RTE-PM | 01-HUM-36-13.5/R36.1 |
| Award Date | 10/31/2023 |
| Closeout Date | Not set |
| Work Description | COLD PLANE AND OVERLAY HMA, & REPLACE GUARDRAILS. |
| Location Description | HUMBOLDT COUNTY AT AND NEAR BRIDGEVILLE FROM 3.4 MILES WEST OF GRIZZLY CREEK BRIDGE TO 0.8 MILE EAST OF SOUTH FORK VAN DUZEN RIVER |
| QA Service Level | 1 (Verified on 06/08/2023) |
Sample Information
| Sample Taken Date | 08/05/2024 | Sample Unique Key | 2 |
|---|---|---|---|
| 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 | 08/05/2024 |
| Sample type | Quality Assurance | A brief description of the sample | 1/2" HMA Cold Feed |
| The quantity of what the sample constitutes | 750 Tons | From where was the sample collected | Source |
| First name of sampler or witnessed by | Ben | Last name of sampler or witnessed by | Reeves |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Mercer Fraser - Fortuna Plant B | Transportation Laboratory (TL) Number | |
| 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) | 91-12-0002 |
|---|---|---|---|
| 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 | Feed Belt | |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 1/2 inch | |
| The concrete mix design number | Lot number | 2 | |
| Sublot number | 16 | Aggregate Mix Number |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2024-08-05-2-1 AASHTO T176-08 (Verified)
DIME Test ID: 2024-08-05-2-2 AASHTO T27-14 (Verified)
