Sample Record
Owner Lab
- CT D09 - Bishop Field Laboratory
DIME Sample ID 2024-12-17-56
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Project Information
| Project Identifiers | Project ID: 994978 DEA: 09379504 EFIS: 0919000009 |
|---|---|
| DIST-CO-RTE-PM | 09-INY-5709- |
| Award Date | 05/17/2024 |
| Closeout Date | 11/25/2025 |
| Work Description | CONSTRUCT BUILDING AND PLACE HMA. |
| Location Description | INYO COUNTY AT INDEPENDENCE AT THE INDEPENDENCE MAINTENANCE STATION AT 665 NORTH EDWARDS STREET |
| QA Service Level | 1 (Verified on 08/02/2023) |
Sample Information
| Sample Taken Date | 12/17/2024 | Sample Unique Key | 56 |
|---|---|---|---|
| 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 | 12/18/2024 |
| Sample type | Acceptance | A brief description of the sample | 4x8 Cylinders |
| The quantity of what the sample constitutes | 250 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Colton | Last name of sampler or witnessed by | Carrington |
| Title of sampler | TET | Telephone number of sampler | |
| Laboratory sample identification | PCC-02 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | 7/11 | Transportation Laboratory (TL) Number | 4553 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Independence Equipment Canopy | Bid Item | Not set |
Material Information
| Material Type | Concrete | The concrete mix design number | 718416A6 |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 2 | |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | Discharge Chute of Truck | 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: 2024-12-17-56-1 ASTM C39-21 (Verified)