Sample Record
Owner Lab
- CT D02 - Redding Northern Regional Laboratory
DIME Sample ID 2022-06-03-23
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Project Information
| Project Identifiers | Project ID: 993182 DEA: 024F5204 EFIS: 0213000002 |
|---|---|
| DIST-CO-RTE-PM | 02-SIS-5-R9.9/R68.1 |
| Award Date | 10/21/2021 |
| Closeout Date | 10/06/2022 |
| Work Description | ROADWAY EX, HYDRAULIC BIOTIC GROWTH MED. AND MIDWEST GUARDRAIL SYSTEM. |
| Location Description | SISKIYOU COUNTY AT VARIOUS LOCATIONS FROM 0.2 MILE NORTH OF REAM AVENUE OVERCROSSING TO 0.2 MILE SOUTH OF HILT ROAD OVERCROSSING |
| QA Service Level | 1 (Verified on 08/23/2021) |
Sample Information
| Sample Taken Date | 06/03/2022 | Sample Unique Key | 23 |
|---|---|---|---|
| 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 | 06/06/2022 |
| Sample type | Acceptance | A brief description of the sample | 2 bags of Shoulder Backing |
| The quantity of what the sample constitutes | Project | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Danny | Last name of sampler or witnessed by | Hansen |
| Title of sampler | Consultant | Telephone number of sampler | |
| Laboratory sample identification | D79043 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Meyer's Earthwork - Custom Crushing | Transportation Laboratory (TL) Number | 891176 |
| 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) | custom crushing |
|---|---|---|---|
| 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 | Shoulder Backing Machine | |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 1-1/2 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: 2022-06-03-23-1 CTM 212-May 2010 (Verified)