Sample Record
Owner Lab
- CT D01 - Crescent City Field Laboratory
DIME Sample ID 2023-02-28-12
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 215620 DEA: 01436404 EFIS: 0100000193 |
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DIST-CO-RTE-PM | 01-DN-101-35.8/36.5 |
Award Date | 07/11/2022 |
Closeout Date | Not set |
Work Description | Dr. Fine Bridge Replacement |
Location Description | DR. FINE BRIDGE REPLACEMENT FROM LAKE EARL DR TO S FRED D. HAIGHT DR ON HWY 101 ACROSS SMITH RIVER. |
QA Service Level | 1 (Verified on 03/26/2021) |
Sample Information
Sample Taken Date | 02/28/2023 | Sample Unique Key | 12 |
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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 | 02/28/2023 |
Sample type | Quality Assurance | A brief description of the sample | CIP Concrete |
The quantity of what the sample constitutes | 46 CY | From where was the sample collected | Job Site |
First name of sampler or witnessed by | Tance | Last name of sampler or witnessed by | Singletary |
Title of sampler | ASR | Telephone number of sampler | 4074628500 |
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Tidewater Starry pit | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | DS-0001 | Structure unique identifier | 01-0041 |
Structure name | Dr Fine Temporary Bridge |
Material Information
Material Type | Concrete | The concrete mix design number | SR3-8CIDH |
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The truck number from where the sample was collected | 109 | The batch plant ticket number from where the sample was collected | 57578 |
Concrete batch plant | Stary Plant | The fabricator/manufacturer designation for the sample | |
A detailed description of where the material sample was collected | CHUTE FROM TRUCK | Where the material sample would have been placed if not sampled | Temp Abutment 1 RT CIDH |
From Lot No. | Bag Lot No. |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2023-02-28-12-1 CTM 557-June 2020 (Verified)
DIME Test ID: 2023-02-28-12-2 CTM 504-June 2010 (Verified)
DIME Test ID: 2023-02-28-12-3 CTM 521-June 2020 (Verified)
DIME Test ID: 2023-02-28-12-5 CTM 556-January 2018 (Verified)