Sample Record
Owner Lab
- CT D01 - Crescent City Field Laboratory
DIME Sample ID 2023-09-06-1
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 215620 DEA: 01436404 EFIS: 0100000193 |
|---|---|
| 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 | 09/06/2023 | Sample Unique Key | 1 |
|---|---|---|---|
| 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 | 09/07/2023 |
| Sample type | Quality Assurance | A brief description of the sample | Detour bridge Column 4 Right |
| The quantity of what the sample constitutes | 66 cy | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Joshua | Last name of sampler or witnessed by | Erler |
| Title of sampler | ASR | Telephone number of sampler | 7074985107 |
| 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 | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Concrete | The concrete mix design number | SR-Minor StructureNA |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | TBD | |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | Back of Truck | Where the material sample would have been placed if not sampled | |
| From Lot No. | Bag Lot No. |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2023-09-06-1-1 CTM 521-June 2020 (Verified)
DIME Test ID: 2023-09-06-1-2 CTM 521-June 2020 (Verified)