Sample Record
Owner Lab
- CT D06 - Millbrook Field Laboratory
DIME Sample ID 2024-10-16-14
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Project Information
| Project Identifiers | Project ID: 215348 DEA: 060U4204 EFIS: 0616000004 |
|---|---|
| DIST-CO-RTE-PM | 06-FRE-99-R4.9/11.6 |
| Award Date | 02/25/2021 |
| Closeout Date | 12/02/2025 |
| Work Description | CONSTRUCT CRCP, PLACE HMA, AND ROADWAY EXCAVATION. |
| Location Description | FRESNO COUNTY IN AND NEAR SELMA AND FOWLER FROM MCCALL AVENUE UNDERCROSSING TO 0.5 MILE NORTH OF MERCED STREET UNDERCROSSING |
| QA Service Level | 1 (Verified on 12/07/2020) |
Sample Information
| Sample Taken Date | 10/16/2024 | Sample Unique Key | 14 |
|---|---|---|---|
| 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 | 10/17/2024 |
| Sample type | Quality Control | A brief description of the sample | 4X8 Concrete Cylinders |
| The quantity of what the sample constitutes | 5 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Sok | Last name of sampler or witnessed by | Thun |
| Title of sampler | CT ASR | Telephone number of sampler | 5592402128 |
| Laboratory sample identification | Mix NCT09064 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Builder Concrete at Sanger Plant | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | CIDH Sign foundation | Bid Item | Not set |
Material Information
| Material Type | Concrete | The concrete mix design number | NCT09064 |
|---|---|---|---|
| The truck number from where the sample was collected | Load 2 | The batch plant ticket number from where the sample was collected | 111351707 |
| Concrete batch plant | Concrete Builder at Sanger plant | The fabricator/manufacturer designation for the sample | |
| A detailed description of where the material sample was collected | Shoulder of SB 99, STA 207+50 | Where the material sample would have been placed if not sampled | Pedestal Sign foundation at Shoulder of SB 99, STA 207+50 |
| 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: 2024-10-16-14-2 CTM 521-June 2020 (Verified)
DIME Test ID: 2024-10-16-14-3 CTM 521-June 2020 (Verified)