Sample Record
Owner Lab
- CT D02 - Redding Northern Regional Laboratory
DIME Sample ID 2021-05-04-21
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Project Information
| Project Identifiers | Project ID: 212496 DEA: 024E4504 EFIS: 0200020286 |
|---|---|
| DIST-CO-RTE-PM | 02-LAS,MOD-139,299-VAR |
| Award Date | 07/28/2020 |
| Closeout Date | 08/14/2023 |
| Work Description | PLACE HMA, REPLACE DRAINAGE, CULVERT, ELECTRICAL AND LIGHTING SYSTEMS. |
| Location Description | LASSEN AND MODOC COUNTIES ON ROUTE 139 AT 0.1 MILE NORTH OF LASSEN COUNTY LINE AND ON ROUTE 299 AT VARIOUS LOCATONS FROM 0.4 MILE WEST OF BOYD HILL LOOKOUT ROAD TO 0.6 MILE EAST OF COUNTY ROAD 87 |
| QA Service Level | 1 (Verified on 06/06/2017) |
Sample Information
| Sample Taken Date | 05/04/2021 | Sample Unique Key | 21 |
|---|---|---|---|
| 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 | 05/05/2021 |
| Sample type | Department Acceptance | A brief description of the sample | 3/4" Class II AB |
| The quantity of what the sample constitutes | Unknown | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | E. | Last name of sampler or witnessed by | Chavez |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | D78790 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Hat Creek Construction | Transportation Laboratory (TL) Number | 765844 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | Hat Creek Lookout, CA |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | The fabricator/manufacturer designation for the sample | ||
| The plant number | A detailed description of where the material sample was collected | 02-LAS,MOD-139,299 VAR, EB A Line Route 299 at STA 1365 plus 50 | |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 3/4 inch | |
| The concrete mix design number | Lot number | ||
| Sublot number | Aggregate Mix Number | Not set |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2021-05-04-21-1 CTM 229-June 2011 (Verified)
DIME Test ID: 2021-05-04-21-2 CTM 202-November 2011 (Verified)
DIME Test ID: 2021-05-04-21-3 CTM 301-March 2000 (Verified)