Sample Record
Owner Lab
- CT D06 - Millbrook Field Laboratory
DIME Sample ID 2025-04-23-26
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Project Information
| Project Identifiers | Project ID: 1001165 DEA: 061H6304 EFIS: 0625000097 |
|---|---|
| DIST-CO-RTE-PM | 06-FRE-6-43.95 |
| Award Date | 02/03/2025 |
| Closeout Date | 07/11/2025 |
| Work Description | The scope of work will include culvert replacement, pavement repair, traffic control, and pavement delineation. |
| Location Description | Fresno County, Rout I-5 at PM 43.95. |
| QA Service Level | 1 (Verified on 04/11/2025) |
Sample Information
| Sample Taken Date | 04/23/2025 | Sample Unique Key | 26 |
|---|---|---|---|
| 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 | 04/24/2025 |
| Sample type | Quality Assurance | A brief description of the sample | Rapid Set Concrete Beams |
| The quantity of what the sample constitutes | Last load placed at site | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Noah | Last name of sampler or witnessed by | Hunt |
| Title of sampler | Senior Materials Tester | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | On Site Volumetric Truck | 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 | 2110-007 |
|---|---|---|---|
| The truck number from where the sample was collected | 110 | The batch plant ticket number from where the sample was collected | 9 |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | At jobsite from Volumetric 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: 2025-04-23-26-1 CTM 524-March 2013 (Verified)