Sample Record
Owner Lab
- McCullough Construction Inc.
DIME Sample ID 2024-04-22-129
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 994116 DEA: 010J4104 EFIS: 0119000025 |
|---|---|
| DIST-CO-RTE-PM | 01-HUM-299-30.7/33.4 |
| Award Date | 11/23/2022 |
| Closeout Date | Not set |
| Work Description | Project Name: HUM-299 Curve Improvement |
| Location Description | HUMBOLDT COUNTY NEAR WILLOW CREEK FROM 0.1 MILE EAST OF CEDAR CREEK ROAD TO 0.1 MILE EAST OF EAST FORK WILLOW CREEK BRIDGE |
| QA Service Level | 1 (Verified on 07/29/2022) |
Sample Information
| Sample Taken Date | 04/22/2024 | Sample Unique Key | 129 |
|---|---|---|---|
| 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 | 04/23/2024 |
| Sample type | Quality Assurance | A brief description of the sample | E67538WRF |
| The quantity of what the sample constitutes | 30 CY | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Joe | Last name of sampler or witnessed by | Aufdermaur |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | C9152 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Eureka Ready Mix | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Concrete | The concrete mix design number | E67538WRF |
|---|---|---|---|
| The truck number from where the sample was collected | 94 | The batch plant ticket number from where the sample was collected | 35429 |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | Concrete sample from wheelbarrow | Where the material sample would have been placed if not sampled | Barrier Wall |
| From Lot No. | Bag Lot No. |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| C9152-MCC-HWY299-ERM-E67538WRF-BarrierWall (04-22-2024) | 12/31/2024 | Info |
Test File Attachments
DIME Test ID: 2024-04-22-129-1 CTM 521-June 2020 (Verified)
DIME Test ID: 2024-04-22-129-2 ASTM C138-17a (Verified)