Sample Record
Owner Lab
- CT D01 - District 1 Materials Laboratory
DIME Sample ID 2023-06-02-8
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Project Information
| Project Identifiers | Project ID: 994264 DEA: 010H20U4 EFIS: 0122000085 |
|---|---|
| DIST-CO-RTE-PM | 01-HUM-101-77.3/79.5 |
| Award Date | 12/15/2022 |
| Closeout Date | Not set |
| Work Description | Project Name: 5th Street Combine (Description of Work: Minor Concrete, Modify Signal and HMA) |
| Location Description | HUMBOLDT COUNTY IN EUREKA AT VARIOUS LOCATIONS FROM MCCULLENS AVENUE TO 0.1 MILE NORTH OF V STREET AND WEST AVENUE NORTHBOUND |
| QA Service Level | 1 (Verified on 09/29/2022) |
Sample Information
| Sample Taken Date | 06/02/2023 | Sample Unique Key | 8 |
|---|---|---|---|
| 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 | 06/02/2023 |
| Sample type | Acceptance | A brief description of the sample | Class 2 AB |
| The quantity of what the sample constitutes | 500 yd3 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Arvin | Last name of sampler or witnessed by | Lal |
| Title of sampler | ARE | Telephone number of sampler | 7074964348 |
| Laboratory sample identification | 23-118 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Mercer Fraser | Transportation Laboratory (TL) Number | C724205 |
| 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) | 91-12-0002 |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | Class 2 AB | The fabricator/manufacturer designation for the sample | |
| The plant number | A detailed description of where the material sample was collected | Stockpile @ Yard | |
| Where the material sample would have been placed if not sampled | Structural section under sidewalk | Primary Aggregate Nominal Size | 3/4 inch |
| The concrete mix design number | Lot number | ||
| Sublot number | Aggregate Mix Number |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2023-06-02-8-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2023-06-02-8-2 CTM 229-June 2011 (Verified)
DIME Test ID: 2023-06-02-8-3 CTM 217-June 2011 (Verified)