Sample Record
Owner Lab
- CT D01 - District 1 Materials Laboratory
DIME Sample ID 2024-03-07-8
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Project Information
| Project Identifiers | Project ID: 994532 DEA: 010E8904 EFIS: 0115000043 |
|---|---|
| DIST-CO-RTE-PM | 01-HUM, -101,299-88.3,0.0 |
| Award Date | 04/20/2023 |
| Closeout Date | Not set |
| Work Description | Arcata 101 Merge Improvements |
| Location Description | HUMBOLDT COUNTY IN ARCATA AT ROUTE 299/101 SEPARATION |
| QA Service Level | 1 (Verified on 04/25/2023) |
Sample Information
| Sample Taken Date | 03/07/2024 | Sample Unique Key | 8 |
|---|---|---|---|
| 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 | 03/08/2024 |
| Sample type | Acceptance | A brief description of the sample | Type II/V Portland Cement |
| The quantity of what the sample constitutes | 3 4x8 concrete cylinders | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Adlai | Last name of sampler or witnessed by | Evans |
| Title of sampler | ASR | Telephone number of sampler | 9513253144 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Eureka Ready mix | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | 12-04E0047 | |
| Structure name |
Material Information
| Material Type | Concrete | The concrete mix design number | E350F |
|---|---|---|---|
| The truck number from where the sample was collected | 84 | The batch plant ticket number from where the sample was collected | 34635 |
| Concrete batch plant | Arcata Eureka Ready Mix | The fabricator/manufacturer designation for the sample | |
| A detailed description of where the material sample was collected | Chute from truck | Where the material sample would have been placed if not sampled | Barrier slab |
| 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: 2024-03-07-8-1 CTM 556-January 2018 (Verified)
DIME Test ID: 2024-03-07-8-2 CTM 557-June 2020 (Verified)
DIME Test ID: 2024-03-07-8-3 CTM 521-June 2020 (Verified)