Sample Record
Owner Lab
- CT D01 - Crescent City Field Laboratory
DIME Sample ID 2024-01-22-4
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 | 01/22/2024 | Sample Unique Key | 4 |
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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 | 01/22/2024 |
Sample type | Quality Assurance | A brief description of the sample | 3/4" Minus |
The quantity of what the sample constitutes | 1 bag | From where was the sample collected | Source |
First name of sampler or witnessed by | Gary | Last name of sampler or witnessed by | Zamora |
Title of sampler | Transportation Engineer | Telephone number of sampler | 707-666-5469 |
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Tidewater/Hole Pit | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name | Dr. Fine |
Material Information
Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | Tidewater/Hole Pit |
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The fabricator's/manufacturer's product name for the sample | 3/4" Minus | The fabricator/manufacturer designation for the sample | 3/4" Minus |
The plant number | A detailed description of where the material sample was collected | Stockpile @ plant | |
Where the material sample would have been placed if not sampled | Detour Bridge Approaches | Primary Aggregate Nominal Size | 3/4 inch |
The concrete mix design number | Lot number | ||
Sublot number | Aggregate Mix Number |
Submitted Tests
DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
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No results found. |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |