Sample Record
Owner Lab
- CT D06 - Millbrook Field Laboratory
DIME Sample ID 2025-04-24-10
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 1000264 DEA: 060W90U4 EFIS: 0623000128 |
|---|---|
| DIST-CO-RTE-PM | 06-TUL-198,216-R11.6/R11.9,R0.0/2.7 |
| Award Date | 08/29/2024 |
| Closeout Date | Not set |
| Work Description | HMA AND MODIFYING SIGNAL AND LIGHTING SYSTEMS. |
| Location Description | TULARE COUNTY IN AND NEAR VISALIA ON ROUTE 216 FROM 0.2 MILE SOUTH OF LOVERS LANE UNDERCROSSING TO 0.2 MILE EAST OF MCAULIFF STREET AND ON ROUTE 198 FROM 0.1 MILE WEST TO 0.2 MILE EAST OF LOVERS LANE UNDERCROSSING |
| QA Service Level | 1 (Verified on 04/15/2024) |
Sample Information
| Sample Taken Date | 04/24/2025 | Sample Unique Key | 10 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | No | Date that the sample was received by the laboratory/organization performing the testing | 04/25/2025 |
| Sample type | Quality Assurance | A brief description of the sample | Retaining wall |
| The quantity of what the sample constitutes | 64 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Adam | Last name of sampler or witnessed by | Mahmoud |
| Title of sampler | ASR | Telephone number of sampler | |
| Laboratory sample identification | 63 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Calportland farmersville | 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 | 172457 |
|---|---|---|---|
| The truck number from where the sample was collected | 0713 | The batch plant ticket number from where the sample was collected | 234245 |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | Concrete from wheelbarrow | Where the material sample would have been placed if not sampled | Retaining wall stem |
| 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: 2025-04-24-10-1 CTM 521-June 2020 (Verified)
DIME Test ID: 2025-04-24-10-2 CTM 521-June 2020 (Verified)
DIME Test ID: 2025-04-24-10-3 CTM 521-June 2020 (Verified)