Sample Record

Owner Lab

  • CT D06 - Visalia Field Laboratory

DIME Sample ID 2025-03-20-46

Project Information

Project IdentifiersProject ID: 994084
DEA: 060U8804
EFIS: 0616000074
DIST-CO-RTE-PM06-TUL-99-26.3/27.6
Award Date01/23/2023
Closeout DateNot set
Work DescriptionCONSTRUCT A NEW INTERCHANGE AT COMMERCIAL AVENUE NOW CALLED INTERNATIONAL AGRI-CENTER WAY
Location DescriptionON STATE ROUTE 99
QA Service Level1 (Verified on 03/13/2023)

Sample Information

Sample Taken Date03/20/2025 Sample Unique Key46
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 testing03/21/2025
Sample typeQuality Assurance A brief description of the sample1 Bag each of 1x4, 3/8 and Fines
The quantity of what the sample constitutesConcrete Aggregates From where was the sample collectedManufacturer
First name of sampler or witnessed byJason Last name of sampler or witnessed byRuiz
Title of samplerConsultant Tester Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameCal Portland Porterville Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name Bid ItemNot set

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)91-54-0022
The fabricator's/manufacturer's product name for the sample The fabricator/manufacturer designation for the sample
The plant number A detailed description of where the material sample was collectedConveyor Belt
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size1 inch
The concrete mix design number Lot number
Sublot number Aggregate Mix Number

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
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