Sample Record for 2026-01-13-1

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

Project Information

Project ID: 993798 DEA: 09366804 EFIS: 0916000021 QA Service Level: 1

DIST-CO-RTE-PM: 09-INY-395-117.3/117.9

Work Description: MEADOW FARMS ADA

Location Description: INYO COUNTY NEAR BISHOP FROM 0.1 MILE EAST OF SEE VEE LANE TO BARLOW LANE

Contractor Name: PAPICH CONSTRUCTION COMPANY, INC.

Contractor Address: P.O. BOX 2210, PISMO BEACH, CA 93448-2210

Resident Engineer: Adam Zumstein Structure Rep.: Mulugheta Belay

DIME Sample ID: 2026-01-13-1

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: 01/13/2026

Date that the sample was received by the laboratory/organization performing the testing: 01/13/2026

The quantity of what the sample constitutes: 1 bag of Class 2 ASB

A brief description of the sample: Class 2 Base

From where was the sample collected: Source

Laboratory sample identification:

Structure unique identifier:

Structure name:

The fabricator/manufacturer/facility name: Papich Construction

Source Identification (SMARA, name of Pit or Job Site): 91-14-0085

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:

DIME Test ID	Test Method	Assigned Date	Test Date	Assigned By	Assigned Lab	Test Comments	Assigned To
2026-01-13-1-1	CTM 216-June 2011: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates	01/13/2026	Not scheduled	Joshua Hubartt	CT D09 - Bishop Field Laboratory		Brian Young