Sample Record
Owner Lab
- CT D01 - District 1 Materials Laboratory
DIME Sample ID 2024-01-11-28
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 994856 DEA: 010H5604 EFIS: 0117000236 |
|---|---|
| DIST-CO-RTE-PM | 01-HUM-299-0.0/R5.7 |
| Award Date | 08/07/2023 |
| Closeout Date | Not set |
| Work Description | PLACE RHMA, REPLACE ASPHALT CONCRETE, AND CONCRETE BARRIER TRANSITION. |
| Location Description | HUMBOLDT COUNTY IN AND NEAR ARCATA FROM ROUTE 299/101 SEPARATION TO 0.2 MILE EAST OF BLUE LAKE UNDERCROSSING |
| QA Service Level | 1 (Verified on 06/08/2023) |
Sample Information
| Sample Taken Date | 01/11/2024 | Sample Unique Key | 28 |
|---|---|---|---|
| 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 | 01/12/2024 |
| Sample type | Quality Assurance | A brief description of the sample | Ready Mix Concrete |
| The quantity of what the sample constitutes | 7 CY | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Mike | Last name of sampler or witnessed by | Thomas |
| Title of sampler | ASR | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Mercer Fraser - Fortuna | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Essex UC |
Material Information
| Material Type | Concrete | The concrete mix design number | MF CL 1 .45 SLAG |
|---|---|---|---|
| The truck number from where the sample was collected | 697 | The batch plant ticket number from where the sample was collected | 51288 |
| Concrete batch plant | 17 | The fabricator/manufacturer designation for the sample | |
| A detailed description of where the material sample was collected | ready mix truck | Where the material sample would have been placed if not sampled | Concrete barrier transition |
| 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: 2024-01-11-28-1 CTM 521-June 2020 (Verified)
DIME Test ID: 2024-01-11-28-2 CTM 521-June 2020 (Verified)
DIME Test ID: 2024-01-11-28-3 CTM 521-June 2020 (Verified)
DIME Test ID: 2024-01-11-28-4 ASTM C143-20 (Verified)