Sample Record
Owner Lab
- CT D02 - Redding Northern Regional Laboratory
DIME Sample ID 2021-10-07-33
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 215403 DEA: 021H4004 EFIS: 0216000042 |
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DIST-CO-RTE-PM | 02-SIS-5-R8.3 |
Award Date | 03/02/2021 |
Closeout Date | 02/28/2022 |
Work Description | PLACE STRUCTURAL CONCRETE BRIDGE DECK AND BARRIER AND PLACE HMA. |
Location Description | SISKIYOU COUNTY NEAR MOUNT SHASTA AT AZALEA ROAD OVERCROSSING |
QA Service Level | 1 (Verified on 01/07/2021) |
Sample Information
Sample Taken Date | 10/07/2021 | Sample Unique Key | 33 |
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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 | 10/09/2021 |
Sample type | Department Acceptance | A brief description of the sample | Class 2 Aggregate Base |
The quantity of what the sample constitutes | 2 bags for unit weight | From where was the sample collected | Manufacturer |
First name of sampler or witnessed by | Karl | Last name of sampler or witnessed by | Huntman |
Title of sampler | JET | Telephone number of sampler | |
Laboratory sample identification | D78955 | Linked DIME Sample ID | |
The fabricator/manufacturer/facility name | Mountain Gate Quarry | Transportation Laboratory (TL) Number | 853081 |
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) | 91-45-0001 |
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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 | Stockpile | |
Where the material sample would have been placed if not sampled | 02 SIS 5 | Primary Aggregate Nominal Size | 3/4 inch |
The concrete mix design number | Lot number | Unknown | |
Sublot number | Unknown | 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: 2021-10-07-33-1 CTM 212-May 2010 (Verified)