Sample Record
Owner Lab
- CT D06 - Millbrook Field Laboratory
DIME Sample ID 2024-12-17-15
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Project Information
| Project Identifiers | Project ID: 1000144 DEA: 061E2204 EFIS: 0621000227 |
|---|---|
| DIST-CO-RTE-PM | 06-FRE-180-R65.3/R66.3 |
| Award Date | 05/03/2024 |
| Closeout Date | 07/14/2025 |
| Work Description | HIGH TENSION CABLE BARRIER AND VEGETATION CONTROL. |
| Location Description | FRESNO COUNTY NEAR FRESNO FROM TEMPERANCE AVENUE UNDERCROSSING TO 0.1 MILE WEST OF DE WOLF AVENUE. |
| QA Service Level | 1 (Verified on 03/04/2024) |
Sample Information
| Sample Taken Date | 12/17/2024 | Sample Unique Key | 15 |
|---|---|---|---|
| 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 | 12/17/2024 |
| Sample type | Acceptance | A brief description of the sample | (3) 4x8 Cylinders |
| The quantity of what the sample constitutes | 9.5 cy | From where was the sample collected | Source |
| 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 | Cemex | 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 | 1518475 |
|---|---|---|---|
| The truck number from where the sample was collected | 21007080 | The batch plant ticket number from where the sample was collected | 41100895 |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | truck discharge chute | 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: 2024-12-17-15-1 CTM 521-June 2020 (Verified)