Sample Record
Owner Lab
- Sousa Ready Mix, LLC
DIME Sample ID 2018-03-06-15
Sample Details QR Code
Scan this code to open this Sample Details view on another device.
Project Information
| Project Identifiers | Project ID: 213337 DEA: 024F5404 EFIS: 0213000004 |
|---|---|
| DIST-CO-RTE-PM | 02-SIS-5-R15.3/R16.5 |
| Award Date | 07/30/2018 |
| Closeout Date | 05/23/2022 |
| Work Description | BRIDGE REPLACEMENT - SOUTHBOUND ONLY |
| Location Description | SISKIYOU COUNTY NEAR WEED FROM 0.1 MILE SOUTH OF DEETZ ROAD UNDERCROSSING TO 0.6 MILE NORTH OF BLACK BUTTE OVERHEAD 02-0004L |
| QA Service Level | 1 (Verified on 11/14/2018) |
Sample Information
| Sample Taken Date | 03/06/2018 | Sample Unique Key | 15 |
|---|---|---|---|
| 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 | 03/06/2018 |
| Sample type | Informational | A brief description of the sample | 1x#4 Concrete Aggregate |
| The quantity of what the sample constitutes | 200 lbs | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Greg | Last name of sampler or witnessed by | Juell |
| Title of sampler | Managing Member | Telephone number of sampler | Unknown |
| Laboratory sample identification | Unknown | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | Sousa Ready Mix, LLC | Transportation Laboratory (TL) Number | Unknown |
| 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) | 91-47-0015 |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | 1 inch Rock | The fabricator/manufacturer designation for the sample | Unknown |
| The plant number | Unknown | A detailed description of where the material sample was collected | Unknown |
| Where the material sample would have been placed if not sampled | Unknown | Primary Aggregate Nominal Size | 1 inch |
| The concrete mix design number | Unknown | Lot number | Not set |
| Sublot number | Not set | Aggregate Mix Number | Not set |
| HMA Pay | No |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||