Sample Record for 2020-05-06-31
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 214527 DEA: 020H69U4 EFIS: 0218000060
QA Service Level: 1
DIST-CO-RTE-PM: 02-TRI-299-10.9/11.2,42.9/43.3
Work Description: INSTALL ROCK FALL DRAPERY
Location Description: TRINITY COUNTY NEAR BURNT RANCH FROM 0.4 MILE EAST OF HENNESSEY ROAD TO 0.3 MILE WEST OF BURNT RANCH SCHOOL ROAD AND FROM 0.5 MILE WEST OF CANYON CREEK BRIDGE TO CANYON CREEK BRIDGE
Contractor Name: Access Limited Construction
Contractor Address: 1102 Pike Lane, Oceano, CA 93445
Resident Engineer: Sunil Repaka Structure Rep.: Unknown
Sample Information
DIME Sample ID: 2020-05-06-31
TL Number from the TL Form: 891127
Sample Submitted By Organization: CT D02 - Redding Northern Regional Laboratory
Sample Organization Contact: (530) 225-3194
Type of Sample: Authorization
Type of Material: Aggregate
Sample Taken Date: 05/06/2020
Date that the sample was received by the laboratory/organization performing the testing: 05/11/2020
The quantity of what the sample constitutes: Rock
A brief description of the sample: Rock
From where was the sample collected: Job Site
Laboratory sample identification: D78427
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: On-Site
Material Information
Source Identification (SMARA, name of Pit or Job Site): Unknowm
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: Rock Face
Where the material sample would have been placed if not sampled: Unknown
Primary Aggregate Nominal Size: 1-1/2 inch
The concrete mix design number: Unknown
Lot number: Unknown
Sublot number: Unknown
Aggregate Mix Number:
Test Results
