Sample Record
Owner Lab
- CT D06 - Millbrook Field Laboratory
DIME Sample ID 2025-10-10-17
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Project Information
| Project Identifiers | Project ID: 1001195 DEA: 060Q5204 EFIS: 0613000190 |
|---|---|
| DIST-CO-RTE-PM | 06-FRE-168-48.2 |
| Award Date | 06/13/2025 |
| Closeout Date | Not set |
| Work Description | PLACE CONCRETE BARRIER AND STRUCTURAL CONCRETE BARRIER SLAB (SHAVER LAKE CONCRETE BARRIER RAIL UPGRADE). |
| Location Description | ON STATE HIGHWAY IN FRESNO COUNTY NEAR SHAVER LAKE AT STEVENSON CREEK. |
| QA Service Level | 1 (Verified on 05/08/2025) |
Sample Information
| Sample Taken Date | 10/10/2025 | Sample Unique Key | 17 |
|---|---|---|---|
| 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 | 10/13/2025 |
| Sample type | Quality Assurance | A brief description of the sample | Barrier Slab Concrete |
| The quantity of what the sample constitutes | 190cy | 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 | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Outback Materials | 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 | 72T1X39 |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 44599 | |
| 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 | |
| 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: 2025-10-10-17-1 CTM 521-June 2020 (Verified)
DIME Test ID: 2025-10-10-17-2 CTM 521-June 2020 (Verified)
DIME Test ID: 2025-10-10-17-3 CTM 521-June 2020 (Verified)