Sample Record

Owner Lab

  • CT D01 - Crescent City Field Laboratory

DIME Sample ID 2024-01-30-33

Project Information

Project IdentifiersProject ID: 994532
DEA: 010E8904
EFIS: 0115000043
DIST-CO-RTE-PM01-HUM, -101,299-88.3,0.0
Award Date04/20/2023
Closeout DateNot set
Work DescriptionArcata 101 Merge Improvements
Location DescriptionHUMBOLDT COUNTY IN ARCATA AT ROUTE 299/101 SEPARATION
QA Service Level1 (Verified on 04/25/2023)

Sample Information

Sample Taken Date01/30/2024 Sample Unique Key33
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 testing01/30/2024
Sample typeQuality Assurance A brief description of the samplereclaimed aggregate/asphalt from jobsite
The quantity of what the sample constitutes1-5 gallon bucket From where was the sample collectedJob Site
First name of sampler or witnessed byjason Last name of sampler or witnessed byhuett
Title of samplerTET Telephone number of sampler7078155590
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nametimberworks Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)Job Site
The fabricator's/manufacturer's product name for the sample The fabricator/manufacturer designation for the sample
The plant number A detailed description of where the material sample was collectedfrom the pad for the concrete barrier
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size1/2 inch
The concrete mix design number Lot number
Sublot number Aggregate Mix Number

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2024-01-30-33-1CTM 231-March 2013: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates Using Nuclear Gagesjason huett, CT D01 - Crescent City Field Laboratory 01/30/2024jason huett
No
Info

Sample File Attachments

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Test File Attachments


DIME Test ID: 2024-01-30-33-1 CTM 231-March 2013