Sample Record for 2024-01-10-28
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 995004 DEA: 060U0004 EFIS: 0615000296
QA Service Level: 1
DIST-CO-RTE-PM: 06-FRE,KER-33,58-70.6/76.0,27.8
Work Description: BRIDGE PREVENTIVE MAINTENANCE.
Location Description: FRESNO AND KERN COUNTIES IN FIREBAUGH ON ROUTE 33 FROM POSO CANAL BRIDGE TO COLONY MAIN CANAL BRIDGE AND NEAR MCKITTRICK ON ROUTE 58 AT MAIN DRAIN CANAL BRIDGE
Contractor Name: BUGLER CONSTRUCTION, INC.
Contractor Address: 4847 Hopyard Rd Ste 4-395, Pleasanton, CA 94588
Resident Engineer: Tyler Street Structure Rep.: Unknown
Sample Information
DIME Sample ID: 2024-01-10-28
TL Number from the TL Form:
Sample Submitted By Organization: CT D06 - Millbrook Field Laboratory
Sample Organization Contact: (559) 341-3953
Type of Sample: Department Acceptance
Type of Material: Concrete
Sample Taken Date: 01/10/2024
Date that the sample was received by the laboratory/organization performing the testing: 01/11/2024
The quantity of what the sample constitutes: 5cy
A brief description of the sample: High Early Strength Mix
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier: 50-0013
Structure name: Main Drain Canal
The fabricator/manufacturer/facility name: Outback Materials
Material Information
The concrete mix design number: 85T3G49
The truck number from where the sample was collected: 110
The batch plant ticket number from where the sample was collected: 152585
Concrete batch plant: Outback Materials
The fabricator/manufacturer designation for the sample: Mix
A detailed description of where the material sample was collected: wheelbarrow
Where the material sample would have been placed if not sampled: Columns
From Lot No.:
Bag Lot No.:
Test Results
