Sample Record

Owner Lab

  • CT D09 - Bishop Field Laboratory

DIME Sample ID 2025-06-09-20

Project Information

Project IdentifiersProject ID: 1000369
DEA: 09378804
EFIS: 0919000002
DIST-CO-RTE-PM09-MNO-395-R9.8/R12.6
Award Date08/29/2024
Closeout DateNot set
Work DescriptionPLACE HMA AND ASPHALT BASE, RECYCLE PAVEMENT AND MODIFY ELECTRICAL.
Location DescriptionMONO COUNTY NEAR TOM\\\\'S PLACE FROM 0.5 MILE NORTH OF LOWER ROCK CREEK ROAD TO 1.3 MILES SOUTH OF SOUTH LANDING OVERCROSSING
QA Service Level1 (Verified on 09/02/2024)

Sample Information

Sample Taken Date06/09/2025 Sample Unique Key20
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 testing06/10/2025
Sample typeAcceptance A brief description of the sample3/4" HMA
The quantity of what the sample constitutes8 boxes of HMA From where was the sample collectedJob Site
First name of sampler or witnessed byJeff Last name of sampler or witnessed byPuente
Title of samplerQA Telephone number of sampler
Laboratory sample identificationHMA-5 Linked DIME Sample ID
The fabricator/manufacturer/facility nameGranite 5 Bridges Bishop Plant 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)Granite 5 Bridges Road Plant
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 collectedJobsite Sample
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size3/4 inch
The concrete mix design number Lot number
Sublot number Aggregate Mix Number

Submitted Tests

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