Sample Record
Owner Lab
- CT D06 - Millbrook Field Laboratory
DIME Sample ID 2025-01-31-5
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Project Information
| Project Identifiers | Project ID: 1000829 DEA: 061H6104 EFIS: 0625000083 |
|---|---|
| DIST-CO-RTE-PM | 06-TUL-99-22.74 |
| Award Date | 12/02/2024 |
| Closeout Date | 05/09/2025 |
| Work Description | Not set |
| Location Description | Not set |
| QA Service Level | 1 (Verified on 12/04/2024) |
Sample Information
| Sample Taken Date | 01/31/2025 | Sample Unique Key | 5 |
|---|---|---|---|
| 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 | 02/03/2025 |
| Sample type | Verification | A brief description of the sample | Type II Cement |
| The quantity of what the sample constitutes | 71.5 CY | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Sok | Last name of sampler or witnessed by | Thun |
| Title of sampler | Assistant SR | Telephone number of sampler | (559) 240-2128 |
| 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 | NB 99 bridge over Tulare Creek | Bid Item | Not set |
Material Information
| Material Type | Concrete | The concrete mix design number | 2804HF |
|---|---|---|---|
| The truck number from where the sample was collected | Load 2 Truck 1796 | The batch plant ticket number from where the sample was collected | 223219 |
| Concrete batch plant | Tulare Plant | The fabricator/manufacturer designation for the sample | |
| A detailed description of where the material sample was collected | Back of Truck | Where the material sample would have been placed if not sampled | Pier Walls |
| 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: 2025-01-31-5-1 CTM 521-June 2020 (Verified)