Sample Record

Owner Lab

  • CT D06 - Millbrook Field Laboratory

DIME Sample ID 2024-10-28-1

Project Information

Project IdentifiersProject ID: 994873
DEA: 060X7804
EFIS: 0618000138
DIST-CO-RTE-PM06-FRE-41-R23.2/R31.7
Award Date06/04/2024
Closeout DateNot set
Work DescriptionCONSTRUCT SLOPE PAVING, ROCK BLANKET AND STAMPED CONCRETE.
Location DescriptionFRESNO COUNTY IN FRESNO AT VARIOUS LOCATIONS FROM VENTURA AVENUE VIADUCT TO FRIANT ROAD UNDERCROSSING
QA Service Level1 (Verified on 06/14/2023)

Sample Information

Sample Taken Date10/28/2024 Sample Unique Key1
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 testing10/28/2024
Sample typeAcceptance A brief description of the sample4 x 8 concrete cylinders
The quantity of what the sample constitutes19.00 From where was the sample collectedJob Site
First name of sampler or witnessed byJonathon Last name of sampler or witnessed byChaney
Title of samplerTET Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameIbarra general engineering inc Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name Bid ItemNot set

Material Information

Material TypeConcrete The concrete mix design number163457
The truck number from where the sample was collected3119 The batch plant ticket number from where the sample was collected212315
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedfrom mix truck Where the material sample would have been placed if not sampled
From Lot No. Bag Lot No.

Submitted Tests

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