Sample Record
Owner Lab
- CT D06 - Millbrook Field Laboratory
DIME Sample ID 2024-10-31-21
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 994873 DEA: 060X7804 EFIS: 0618000138 |
|---|---|
| DIST-CO-RTE-PM | 06-FRE-41-R23.2/R31.7 |
| Award Date | 06/04/2024 |
| Closeout Date | Not set |
| Work Description | CONSTRUCT SLOPE PAVING, ROCK BLANKET AND STAMPED CONCRETE. |
| Location Description | FRESNO COUNTY IN FRESNO AT VARIOUS LOCATIONS FROM VENTURA AVENUE VIADUCT TO FRIANT ROAD UNDERCROSSING |
| QA Service Level | 1 (Verified on 06/14/2023) |
Sample Information
| Sample Taken Date | 10/31/2024 | Sample Unique Key | 21 |
|---|---|---|---|
| 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 | 10/31/2024 |
| Sample type | Acceptance | A brief description of the sample | 4x8 concrete cylinders |
| The quantity of what the sample constitutes | 6 cylinders | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Jonathon | Last name of sampler or witnessed by | Chaney |
| Title of sampler | TET | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Ibarra general engineering inc | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Concrete | The concrete mix design number | 163457 |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 212901 | |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | chute from concrete truck | Where the material sample would have been placed if not sampled | |
| From Lot No. | Bag Lot No. |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||