Sample Record
Owner Lab
- CT D01 - District 1 Materials Laboratory
DIME Sample ID 2024-03-21-35
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Project Information
| Project Identifiers | Project ID: 994116 DEA: 010J4104 EFIS: 0119000025 |
|---|---|
| DIST-CO-RTE-PM | 01-HUM-299-30.7/33.4 |
| Award Date | 11/23/2022 |
| Closeout Date | Not set |
| Work Description | Project Name: HUM-299 Curve Improvement |
| Location Description | HUMBOLDT COUNTY NEAR WILLOW CREEK FROM 0.1 MILE EAST OF CEDAR CREEK ROAD TO 0.1 MILE EAST OF EAST FORK WILLOW CREEK BRIDGE |
| QA Service Level | 1 (Verified on 07/29/2022) |
Sample Information
| Sample Taken Date | 03/21/2024 | Sample Unique Key | 35 |
|---|---|---|---|
| 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 | 03/22/2024 |
| Sample type | Quality Assurance | A brief description of the sample | TYPE II/V CEMENT |
| The quantity of what the sample constitutes | 231 CY | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Laura | Last name of sampler or witnessed by | Cangas |
| Title of sampler | SR | Telephone number of sampler | 7074964358 |
| 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 | 12-04E0054 | |
| Structure name | RW B2 |
Material Information
| Material Type | Concrete | The concrete mix design number | E675WRF |
|---|---|---|---|
| The truck number from where the sample was collected | 83 | The batch plant ticket number from where the sample was collected | 34902 |
| Concrete batch plant | Arcata Eureka Ready Mix | The fabricator/manufacturer designation for the sample | Batch |
| A detailed description of where the material sample was collected | CHUTE FROM TRUCK | Where the material sample would have been placed if not sampled | RW B2 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: 2024-03-21-35-2 ASTM C1064-17 (Verified)
DIME Test ID: 2024-03-21-35-3 ASTM C143-20 (Verified)
DIME Test ID: 2024-03-21-35-4 CTM 521-June 2020 (Verified)