Sample Record

Owner Lab

  • CT D06 - Millbrook Field Laboratory

DIME Sample ID 2025-10-23-33

Project Information

Project IdentifiersProject ID: 1000912
DEA: 061G7704
EFIS: 0624000165
DIST-CO-RTE-PM06-KIN-5-16.6/26.7
Award Date04/01/2025
Closeout DateNot set
Work DescriptionREMOVE AND REPLACE ASPHALT CONCRETE OVERLAY.
Location DescriptionKINGS COUNTY IN AND NEAR AVENAL FROM ROUTE 5/41 SEPARATION TO FRESNO COUNTY LINE
QA Service Level1 (Verified on 02/11/2025)

Sample Information

Sample Taken Date10/23/2025 Sample Unique Key33
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 testing10/24/2025
Sample typeQuality Assurance A brief description of the sample3/4” HMA Aggregate
The quantity of what the sample constitutes0-750 Tons Produced From where was the sample collectedManufacturer
First name of sampler or witnessed byNoah Last name of sampler or witnessed byHunt
Title of samplerSenior Materials Tester Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameGranite Coalinga 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 Coalinga
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 collectedAutomatic Sampling Device @ Plant
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size3/4 inch
The concrete mix design number Lot number1
Sublot number6 Aggregate Mix Number

Submitted Tests

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