Sample Record
Owner Lab
- CT D06 - Millbrook Field Laboratory
DIME Sample ID 2024-12-03-18
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Project Information
| Project Identifiers | Project ID: 1000649 DEA: 061H3404 EFIS: 0625000042 |
|---|---|
| DIST-CO-RTE-PM | 06-TUL-99-23.49 |
| Award Date | 09/10/2024 |
| Closeout Date | 05/09/2025 |
| Work Description | BRIDGE REPAIR FOR BR #46 0192 |
| Location Description | Tulare County along NB SR 99 at Avenue 184 OC, Bridge #46 0192. |
| QA Service Level | 1 (Verified on 09/26/2024) |
Sample Information
| Sample Taken Date | 12/03/2024 | Sample Unique Key | 18 |
|---|---|---|---|
| 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 | 12/04/2024 |
| Sample type | Quality Assurance | A brief description of the sample | concrete from the bridge deck |
| The quantity of what the sample constitutes | 9.6 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Pao | Last name of sampler or witnessed by | Moua |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | CALPORTLAND | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Bid Item | Not set |
Material Information
| Material Type | Concrete | The concrete mix design number | 18041H |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 216515 | |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | wheelbarrow | Where the material sample would have been placed if not sampled | |
| 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: 2024-12-03-18-1 CTM 521-June 2020 (Verified)
DIME Test ID: 2024-12-03-18-2 CTM 521-June 2020 (Verified)
DIME Test ID: 2024-12-03-18-3 CTM 521-June 2020 (Verified)
DIME Test ID: 2024-12-03-18-4 CTM 521-June 2020 (Verified)