Sample Record
Owner Lab
- CT D06 - Millbrook Field Laboratory
DIME Sample ID 2025-02-19-16
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Project Information
| Project Identifiers | Project ID: 1000115 DEA: 060Y7604 EFIS: 0619000024 |
|---|---|
| DIST-CO-RTE-PM | 06-FRE-L5506,L5725- |
| Award Date | 05/08/2024 |
| Closeout Date | Not set |
| Work Description | MODIFICATION OF ELECTRICAL SYSTEM. |
| Location Description | FRESNO COUNTY IN FRESNO AT THE WEST AVENUE MAINTENANCE STATION 1283 NORTH WEST AVENUE AND AT THE DISTRICT OFFICE 1352 WEST OLIVE AVENUE |
| QA Service Level | 1 (Verified on 02/26/2024) |
Sample Information
| Sample Taken Date | 02/19/2025 | Sample Unique Key | 16 |
|---|---|---|---|
| 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 | 02/19/2025 |
| Sample type | Acceptance | A brief description of the sample | 4x8 concrete cylinders |
| The quantity of what the sample constitutes | 3 concrete 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 | Construction H | 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 | 1416245 |
|---|---|---|---|
| The truck number from where the sample was collected | 76214 | The batch plant ticket number from where the sample was collected | 41202389 |
| Concrete batch plant | cemex | The fabricator/manufacturer designation for the sample | |
| A detailed description of where the material sample was collected | Back of concrete truck, into wheelbarrow | Where the material sample would have been placed if not sampled | CT Yard |
| 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: 2025-02-19-16-1 CTM 521-June 2020 (Verified)