Sample Record

Owner Lab

  • CT D09 - Bishop Field Laboratory

DIME Sample ID 2025-07-16-3

Project Information

Project IdentifiersProject ID: 1000943
DEA: 09404304
EFIS: 0924000070
DIST-CO-RTE-PM09-MNO-120-32.1/R35.0,48.0/50.0
Award Date04/28/2025
Closeout DateNot set
Work DescriptionCOLD IN-PLACE RECYCLE EXISTING PAVEMENT AND PLACE HMA.
Location DescriptionMONO COUNTY NEAR BENTON FROM 0.5 MILE EAST TO 3.4 MILES EAST OF BAXTER\'S ROAD AND FROM 2.0 MILES WEST OF BLACK LAKE ROAD TO BLACK LAKE ROAD
QA Service Level1 (Verified on 04/07/2025)

Sample Information

Sample Taken Date07/16/2025 Sample Unique Key3
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 testing07/16/2025
Sample typeAcceptance A brief description of the sample1/2" HMA-SP PG 58-34M R25
The quantity of what the sample constitutes4 Bags of Coldfeed (Hot Drop) From where was the sample collectedSource
First name of sampler or witnessed byJeff Last name of sampler or witnessed byPuente
Title of samplerQA Telephone number of sampler
Laboratory sample identificationJMF-1 Linked DIME Sample ID
The fabricator/manufacturer/facility nameGranite Lee Vining 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 Lee Vining
The fabricator's/manufacturer's product name for the sample14748 The fabricator/manufacturer designation for the sample
The plant number A detailed description of where the material sample was collectedColdfeed Conveyor Belt
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size1/2 inch
The concrete mix design number Lot number1
Sublot number1 Aggregate Mix Number

Submitted Tests

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