Sample Record for 2020-02-26-7
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 214642 DEA: 031G6704 EFIS: 0319000117
QA Service Level: 1
DIST-CO-RTE-PM: 03---
Work Description: COLD PLANE AC PAVEMENT AND RHMA-G OVERLAY.
Location Description: GLENN COUNTY NEAR WILLOWS FROM 2.3 MILES EAST OF NYE CREEK BRIDGE TO 0.2 MILE WEST OF ROUTE 162/5 SEPARATION
Contractor Name: BALDWIN CONTRACTING CO., INC. DBA KNIFE RIVER CONSTRUCTION
Contractor Address: 1764 Skyway, CHICO, CA 95928
Resident Engineer: Daniel Rechs Structure Rep.: Unknown
Sample Information
DIME Sample ID: 2020-02-26-7
TL Number from the TL Form:
Sample Submitted By Organization: Knife River Construction
Sample Organization Contact: (530) 518-5549
Type of Sample: Quality Control
Type of Material: Aggregate
Sample Taken Date: 02/26/2020
Date that the sample was received by the laboratory/organization performing the testing: 02/27/2020
The quantity of what the sample constitutes: 2 bags
A brief description of the sample: 3/4" Aggregate
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Knife River Construction
Material Information
Source Identification (SMARA, name of Pit or Job Site): 91-11-007
The fabricator's/manufacturer's product name for the sample: Unknown
The fabricator/manufacturer designation for the sample: Unknown
The plant number: Unknown
A detailed description of where the material sample was collected: testing for JMF Verification
Where the material sample would have been placed if not sampled: Unknown
Primary Aggregate Nominal Size: 3/4 inch
The concrete mix design number: Unknown
Lot number: Unknown
Sublot number: Unknown
Aggregate Mix Number:
Test Results
