Sample Record for 2017-04-07-20
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 99999 DEA: 0322222
QA Service Level:
DIST-CO-RTE-PM: 03-SAC,OMG-888,99,80-0.6-0.6
Work Description: THIS PROJECT RECORD WAS ADDED FOR DIME TESTERS - DATA SUBMITTED FOR THIS PROJECT SHOULD NOT BE USED FOR ANY OTHER PURPOSES.
Location Description: THIS PROJECT RECORD WAS ADDED FOR DIME TESTERS - DATA SUBMITTED FOR THIS PROJECT SHOULD NOT BE USED FOR ANY OTHER PURPOSES.
Contractor Name: Unknown
Contractor Address: Unknown
Resident Engineer: Michael Maksimovich Structure Rep.: Unknown
Sample Information
DIME Sample ID: 2017-04-07-20
TL Number from the TL Form: Unknown
Sample Submitted By Organization: CT D02 - Redding Northern Regional Laboratory
Sample Organization Contact: (530) 225-3194
Type of Sample: Verification
Type of Material: Aggregate
Sample Taken Date: 04/07/2017
Date that the sample was received by the laboratory/organization performing the testing: 04/07/2017
The quantity of what the sample constitutes: JMF
A brief description of the sample: Bin 1 - Half-Inch Untreated
From where was the sample collected: Source
Laboratory sample identification: JMF 17-01-S1
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Hat Creek - Shaw Pit Facility
Material Information
Source Identification (SMARA, name of Pit or Job Site): 91-25-0008
The fabricator's/manufacturer's product name for the sample: Bin 1 - Half-Inch Untreated
The fabricator/manufacturer designation for the sample: 67
The plant number: Unknown
A detailed description of where the material sample was collected: stockpile
Where the material sample would have been placed if not sampled: Unknown
Primary Aggregate Nominal Size: 3/4 inch
The concrete mix design number: 16-1278 72
Lot number:
Sublot number:
Aggregate Mix Number:
Test Results
