Sample Record

Owner Lab

  • CT D01 - District 1 Materials Laboratory

DIME Sample ID 2022-06-21-45

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 993468
DEA: 010C1104
EFIS: 0112000229
DIST-CO-RTE-PM01-HUM-101-60.4
Award Date03/17/2022
Closeout DateNot set
Work DescriptionConstruct New Materials Lab
Location DescriptionHUMBOLDT COUNTY IN FORTUNA AT THE MATERIALS LABORATORY AT 1050 RIVER RANCH ROAD
QA Service Level1 (Verified on 12/28/2021)

Sample Information

Sample Taken Date06/21/2022 Sample Unique Key45
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 testing06/22/2022
Sample typePreliminary A brief description of the sampleFine Conc Agg
The quantity of what the sample constitutesPeliminary data From where was the sample collectedSource
First name of sampler or witnessed byJ Thomas Last name of sampler or witnessed byWoodhead
Title of sampler Telephone number of sampler
Laboratory sample identification22-295 Linked DIME Sample ID2022-06-21-43, 2022-06-21-44
The fabricator/manufacturer/facility nameMercer Fraser Fortuna Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)91-12-0002
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 collectedStockpile
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Sizefine
The concrete mix design numberMF CL 2 Salg Lot number
Sublot number Aggregate Mix NumberNot set

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2022-06-21-45-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesTravis Sauers, CT D01 - District 1 Materials Laboratory07/06/2022Leif Ayres
Yes
07/25/2022
2022-06-21-45-2CTM 213-December 2012: Method of Test for Organic Impurities in Concrete SandLeif Ayres, CT D01 - District 1 Materials Laboratory07/06/2022Leif Ayres
Yes
07/25/2022
2022-06-21-45-3CTM 217-June 2011: Method of Test for Sand EquivalentTravis Sauers, CT D01 - District 1 Materials Laboratory07/06/2022Leif Ayres
Yes
07/25/2022
2022-06-21-45-4CTM 229-June 2011: Method of Test for Durability IndexTravis Sauers, CT D01 - District 1 Materials Laboratory07/06/2022Leif Ayres
Yes
07/25/2022
2022-06-21-45-5CTM 207-March 2012: Method of Test for Specific Gravity and Absorption of Fine AggregateLeif Ayres, CT D01 - District 1 Materials Laboratory07/06/2022Leif Ayres
Yes
07/25/2022

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2022-06-21-45-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2022-06-21-45-2 CTM 213-December 2012 (Verified)
DIME Test ID: 2022-06-21-45-3 CTM 217-June 2011 (Verified)
DIME Test ID: 2022-06-21-45-4 CTM 229-June 2011 (Verified)
DIME Test ID: 2022-06-21-45-5 CTM 207-March 2012 (Verified)