Sample Record
Owner Lab
- CT HQ - Sacramento Aggregate Testing Laboratory
DIME Sample ID 2017-11-22-9
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 212253 DEA: 010H0304 EFIS: 0117000087 |
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DIST-CO-RTE-PM | 01-HUM-96-20.0/24.0, 0.83 |
Award Date | 02/22/2017 |
Closeout Date | 01/08/2019 |
Work Description | REPAIR SLIPOUT |
Location Description | IN HUMBOLDT COUNTY NEAR WEITCHPEC FROM 3.0 MILES OF KLAMATH RIVER BRIDGE #04-0144 TO 0.6 MILE EAST OF WEITCHPEC ROAD |
QA Service Level | 1 (Verified on 04/24/2017) |
Sample Information
Sample Taken Date | 11/22/2017 | Sample Unique Key | 9 |
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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 | 12/05/2017 |
Sample type | Annual Source Testing | A brief description of the sample | 3/8 x 8 PCC Agg |
The quantity of what the sample constitutes | 1 bag | From where was the sample collected | Source |
First name of sampler or witnessed by | Kat | Last name of sampler or witnessed by | Eagan |
Title of sampler | Unknown | Telephone number of sampler | Unknown |
Laboratory sample identification | 17CPCC-0366 | Linked DIME Sample ID | Unknown |
The fabricator/manufacturer/facility name | Hoopa Valley Ready Mix | Transportation Laboratory (TL) Number | C971931B |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | Not set |
Structure name | Not set |
Material Information
Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | Hoopa Valley Aggregate -- no SMARA -- tribal land |
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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 | Stockpile |
Where the material sample would have been placed if not sampled | Unknown | Primary Aggregate Nominal Size | 3/8 inch |
The concrete mix design number | Unknown | Lot number | Not set |
Sublot number | Not set | Aggregate Mix Number | Not set |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2017-11-22-9-1 CTM 214-August 2010 (Verified)