Sample Record
Owner Lab
- CT D02 - Redding Northern Regional Laboratory
DIME Sample ID 2022-08-08-27
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Project Information
| Project Identifiers | Project ID: 212498 DEA: 021H5204 EFIS: 0217000009 |
|---|---|
| DIST-CO-RTE-PM | 02-SIS-3,263-48.5/49.7 - 49.41 |
| Award Date | 06/09/2023 |
| Closeout Date | Not set |
| Work Description | Roadway Rehabilitation |
| Location Description | 02-Sis-3, 263-R46.8/R48.0, 49.07/49.41 |
| QA Service Level | 1 (Verified on 06/06/2017) |
Sample Information
| Sample Taken Date | 08/08/2022 | Sample Unique Key | 27 |
|---|---|---|---|
| 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 | 08/09/2022 |
| Sample type | Acceptance | A brief description of the sample | 1 bag of Fine Concrete Sand |
| The quantity of what the sample constitutes | . | From where was the sample collected | Source |
| 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 | D79120B | Linked DIME Sample ID | 2022-08-08-26 |
| The fabricator/manufacturer/facility name | Moore's Sand and Gravel | Transportation Laboratory (TL) Number | 891185 |
| 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) | 91-47-0014::Moores Gravel |
|---|---|---|---|
| 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 | Primary Aggregate Nominal Size | fine | |
| 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: 2022-08-08-27-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2022-08-08-27-2 CTM 213-December 2012 (Verified)
DIME Test ID: 2022-08-08-27-3 CTM 217-June 2011 (Verified)