Sample Record for 2026-05-12-62
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 1001372 DEA: 09374504 EFIS: 0918000017
QA Service Level: 1
DIST-CO-RTE-PM: 09-INY-395-56.8/57.4,57.9/R58.3
Work Description: CONSTRUCT SIDEWALK, CURB RAMPS, AND DRAINAGE.
Location Description: INYO COUNTY AT AND NEAR LONE PINE FROM TEYA ROAD TO EAST INYO STREET AND FROM BEGOLE STREET TO EAST LUBKEN AVENUE
Contractor Name: CALIFORNIA HIGHWAY CONSTRUCTION GROUP, INC.
Contractor Address: Unknown
Resident Engineer: Unknown Structure Rep.: Unknown
Sample Information
DIME Sample ID: 2026-05-12-62
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: 05/12/2026
Date that the sample was received by the laboratory/organization performing the testing: 05/12/2026
The quantity of what the sample constitutes: 2600-3250CY
A brief description of the sample: Class 3 Permeable Material
From where was the sample collected: Source
Laboratory sample identification: PM-2
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Grinding Rock - Independence
Material Information
Source Identification (SMARA, name of Pit or Job Site): 000-000
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
Where the material sample would have been placed if not sampled:
Primary Aggregate Nominal Size: 1 inch
The concrete mix design number:
Lot number:
Sublot number:
Aggregate Mix Number:
Test Results
