Sample Record

Owner Lab

  • CT D09 - Bishop Field Laboratory

DIME Sample ID 2025-10-29-33

Project Information

Project IdentifiersProject ID: 993798
DEA: 09366804
EFIS: 0916000021
DIST-CO-RTE-PM09-INY-395-117.3/117.9
Award Date04/03/2025
Closeout DateNot set
Work DescriptionMEADOW FARMS ADA
Location DescriptionINYO COUNTY NEAR BISHOP FROM 0.1 MILE EAST OF SEE VEE LANE TO BARLOW LANE
QA Service Level1 (Verified on 08/14/2023)

Sample Information

Sample Taken Date10/29/2025 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 testing10/31/2025
Sample typePreliminary A brief description of the sampleCylinders for Structural
The quantity of what the sample constitutesPCC Trial Batch From where was the sample collectedSource
First name of sampler or witnessed byDylan Last name of sampler or witnessed byCarapazza
Title of samplerConsultant Telephone number of sampler
Laboratory sample identificationPCC-005 Linked DIME Sample ID
The fabricator/manufacturer/facility name7/11 Bishop Plant Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure nameMeadow Farms Bridge Bid ItemNot set

Material Information

Material TypeConcrete The concrete mix design number0000
The truck number from where the sample was collected The batch plant ticket number from where the sample was collected01
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedTruck 1 Where the material sample would have been placed if not sampled
From Lot No. Bag Lot No.

Submitted Tests

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