Sample Record
Owner Lab
- CT D06 - Millbrook Field Laboratory
DIME Sample ID 2025-05-29-41
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Project Information
| Project Identifiers | Project ID: 1000911 DEA: 061G7104 EFIS: 0624000158 |
|---|---|
| DIST-CO-RTE-PM | 06-FRE-5,33-49.9/55.7,16.8/22.8 |
| Award Date | 03/28/2025 |
| Closeout Date | 12/02/2025 |
| Work Description | PAVEMENT DELINEATION. |
| Location Description | FRESNO COUNTY NEAR COALINGA ON ROUTE 33 FROM PHELPS AVENUE TO 1.6 MILES SOUTH OF ROUTE 198 AND ON ROUTE 5 FROM 1.0 MILE NORTH OF PANOCHE ROAD OVERCROSSING TO 0.2 MILE NORTH OF CALIFORNIA AVE OVERCROSSING |
| QA Service Level | 1 (Verified on 02/11/2025) |
Sample Information
| Sample Taken Date | 05/29/2025 | Sample Unique Key | 41 |
|---|---|---|---|
| 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 | 05/29/2025 |
| Sample type | Acceptance | A brief description of the sample | 3 concrete beams RSC |
| The quantity of what the sample constitutes | 2 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 | 5592309471 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Pave Tech | 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 | CTS-65-EHI |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | NA | |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | Wheelbarrow from Chute 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: 2025-05-29-41-1 CTM 524-March 2013 (Verified)