Sample Record
Owner Lab
- CT D03 - Chico Field Laboratory
DIME Sample ID 2023-07-08-6
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 993192 DEA: 024H4404 EFIS: 0218000119 |
|---|---|
| DIST-CO-RTE-PM | 02-PLU-70-0.0/29.9 |
| Award Date | 02/10/2022 |
| Closeout Date | Not set |
| Work Description | CONSTRUCT SOLDIER PILE RETAINING WALL, REPAIR RSP AND HMA PAVING. |
| Location Description | PLUMAS COUNTY AT VARIOUS LOCATIONS FROM BUTTE COUNTY LINE TO 3.1 MILES WEST OF ROUTE 89 |
| QA Service Level | 1 (Verified on 08/23/2021) |
Sample Information
| Sample Taken Date | 07/08/2023 | Sample Unique Key | 6 |
|---|---|---|---|
| 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 | 07/11/2023 |
| Sample type | Quality Assurance | A brief description of the sample | 4x8 concrete cylinders |
| The quantity of what the sample constitutes | 300 cu yds | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Jason | Last name of sampler or witnessed by | Charmberry |
| Title of sampler | ASR | Telephone number of sampler | |
| Laboratory sample identification | 23-119 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Shasta Ready Mix | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Textured Wall Piles 144-134 |
Material Information
| Material Type | Concrete | The concrete mix design number | CT-6755LA50 |
|---|---|---|---|
| The truck number from where the sample was collected | 80 | The batch plant ticket number from where the sample was collected | 78366 |
| Concrete batch plant | Shasta RediMix | The fabricator/manufacturer designation for the sample | |
| A detailed description of where the material sample was collected | Textured Wall Pile 144-134 | Where the material sample would have been placed if not sampled | |
| From Lot No. | Bag Lot No. |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||