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Sample Record for 2025-12-01-3

Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.

Project Information

Project ID: 1000541 DEA: 09374704 EFIS: 0918000019 QA Service Level: 1
DIST-CO-RTE-PM: 09-INY-168,395-17.6/18.3,114.9/117.8
Work Description: HMA (TYPE A), MINOR CONCRETE, AND LIGHTING.
Location Description: INYO COUNTY IN AND NEAR BISHOP ON ROUTE 395 FROM 0.1 MILE SOUTH OF JAY STREET TO BARLOW LANE AND ON ROUTE 168 FROM PIONEER LANE TO ROUTE 395
Contractor Name: PAPICH CONSTRUCTION COMPANY, INC.
Contractor Address: P.O. BOX 2210, PISMO BEACH, CA 93448-2210
Resident Engineer: John Gentry Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2025-12-01-3
TL Number from the TL Form:
Sample Submitted By Organization: CT D09 - Bishop Field Laboratory
Sample Organization Contact: (760) 872-5211
Type of Sample: Acceptance
Type of Material: Aggregate
Sample Taken Date: 12/01/2025
Date that the sample was received by the laboratory/organization performing the testing: 12/01/2025
The quantity of what the sample constitutes: 1 bag class
A brief description of the sample: Class 2 Base
From where was the sample collected: Source
Laboratory sample identification: C2B10
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Bishop landfill

Material Information

Source Identification (SMARA, name of Pit or Job Site): Jobsite
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 collected: Stockpile @ Plant
Where the material sample would have been placed if not sampled:
Primary Aggregate Nominal Size: 3/4 inch
The concrete mix design number:
Lot number:
Sublot number:
Aggregate Mix Number:

Test Results

Tests Assigned to this Sample

DIME Test IDTest MethodAssigned DateTest DateAssigned ByAssigned LabTest CommentsAssigned To
2025-12-01-3-1CTM 216-June 2011: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates12/01/2025Not scheduledDarrell BiedermanCT D09 - Bishop Field LaboratoryDerek Carrington