Sample Record
Owner Lab
- CT D02 - Redding Northern Regional Laboratory
DIME Sample ID 2022-06-21-36
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Project Information
| Project Identifiers | Project ID: 212775 DEA: 024F2204 EFIS: 0212000073 |
|---|---|
| DIST-CO-RTE-PM | 02-TRI-3-58.7/61.9 |
| Award Date | 02/25/2021 |
| Closeout Date | 05/06/2024 |
| Work Description | REPLACE STRUCTURAL CONCRETE BRIDGE AND CULVERTS AND PLACE HMA. |
| Location Description | TRINITY COUNTY NEAR TRINITY CENTER FROM 58.7 MILES NORTH OF PREACHER MEADOWS ROAD TO 60.7 MILES SOUTH OF EL DORADO WAY |
| QA Service Level | 1 (Verified on 01/08/2019) |
Sample Information
| Sample Taken Date | 06/21/2022 | Sample Unique Key | 36 |
|---|---|---|---|
| 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 | 06/21/2022 |
| Sample type | Department Acceptance | A brief description of the sample | 3 bags of 3/4-inch Class2 Aggregate Base |
| The quantity of what the sample constitutes | 500 cy per TL-0101 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Dave | Last name of sampler or witnessed by | Lockett |
| Title of sampler | Consultant | Telephone number of sampler | |
| Laboratory sample identification | D79061 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Moore's Pit | Transportation Laboratory (TL) Number | 036758 |
| 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) | Moores Pit |
|---|---|---|---|
| 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 on site | |
| Where the material sample would have been placed if not sampled | Roadway | 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: 2022-06-21-36-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2022-06-21-36-2 CTM 301-March 2000 (Verified)