Sample Record

Owner Lab

  • CT D02 - North Region Materials Lab

DIME Sample ID 2021-09-15-18

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 212245
DEA: 024F8604
EFIS: 0213000043
DIST-CO-RTE-PM02-TRI-36-26.7/27.1
Award Date11/02/2018
Closeout DateNot set
Work DescriptionROADWAY REALIGNMENT AND NEW BRIDGE CONSTRUCTION
Location DescriptionTRINITY COUNTY ABOUT 9 MILES EAST OF FOREST GLEN FROM 0.6 MILE WEST TO 0.1 MILE WEST OF ROUTE 3
QA Service Level1 (Verified on 03/21/2017)

Sample Information

Sample Taken Date09/15/2021 Sample Unique Key18
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 testing09/16/2021
Sample typeInformational A brief description of the sampleCompost
The quantity of what the sample constitutes1 bag of compost for use in erosion control From where was the sample collectedManufacturer
First name of sampler or witnessed byC. Last name of sampler or witnessed byRay
Title of samplerARE Telephone number of sampler
Laboratory sample identificationD78943 Linked DIME Sample ID
The fabricator/manufacturer/facility nameLassen Forest Products Transportation Laboratory (TL) Number036779
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAggregate Source Identification (SMARA or name of Pit)Unknown
The fabricator's/manufacturer's product name for the sampleUnknown The fabricator/manufacturer designation for the sampleUnknown
The plant numberunk A detailed description of where the material sample was collectedStockpile
Where the material sample would have been placed if not sampled02 TRI 36 PM 26 1 to 27 1 Primary Aggregate Nominal Size1 inch
The concrete mix design numberNot Applicable Lot number
Sublot number HMA Design ID

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2021-09-15-18-1CTM 212-May 2010: Method of Test for Unit Weight of AggregateKaren DoradoCT D02 - North Region Materials Lab09/18/2021Darrell Valasek
Yes
09/21/2021Loose method (by shoveling) was performed.