Sample Record
Owner Lab
- CT D02 - North Region Materials Lab
DIME Sample ID 2020-05-06-31
Project Information
| Project Identifiers | Project ID: 214527 DEA: 020H69U4 EFIS: 0218000060 |
|---|---|
| DIST-CO-RTE-PM | 02-TRI-299-10.9/11.2,42.9/43.3 |
| Award Date | 01/03/2020 |
| Closeout Date | 10/05/2021 |
| 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 |
| QA Service Level | 1 (Verified on 01/22/2020) |
Sample Information
| Sample Taken Date | 05/06/2020 | Sample Unique Key | 31 |
|---|---|---|---|
| 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 | 05/11/2020 |
| Sample type | Authorization | A brief description of the sample | Rock |
| The quantity of what the sample constitutes | Rock | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Brian | Last name of sampler or witnessed by | Alvarez |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | D78427 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | On-Site | Transportation Laboratory (TL) Number | 891127 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Aggregate | Source Identification (SMARA or name of Pit) | 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 | HMA Design ID |
Submitted Tests
| DIME Test ID | Test Method | Tester Name | Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|---|
| No results found. | |||||||||