Sample Record

Owner Lab

  • CT D06 - Millbrook Field Laboratory

DIME Sample ID 2025-10-10-66

Project Information

Project IdentifiersProject ID: 1000264
DEA: 060W90U4
EFIS: 0623000128
DIST-CO-RTE-PM06-TUL-198,216-R11.6/R11.9,R0.0/2.7
Award Date08/29/2024
Closeout DateNot set
Work DescriptionHMA AND MODIFYING SIGNAL AND LIGHTING SYSTEMS.
Location DescriptionTULARE COUNTY IN AND NEAR VISALIA ON ROUTE 216 FROM 0.2 MILE SOUTH OF LOVERS LANE UNDERCROSSING TO 0.2 MILE EAST OF MCAULIFF STREET AND ON ROUTE 198 FROM 0.1 MILE WEST TO 0.2 MILE EAST OF LOVERS LANE UNDERCROSSING
QA Service Level1 (Verified on 04/15/2024)

Sample Information

Sample Taken Date10/10/2025 Sample Unique Key66
Will the laboratory/organization for which you are a member perform testing on this material sample?No Date that the sample was received by the laboratory/organization performing the testing10/10/2025
Sample typeQuality Assurance A brief description of the sampleBox Culvert Section Manhole and Collars
The quantity of what the sample constitutes15.5 cy From where was the sample collectedJob Site
First name of sampler or witnessed byPao Last name of sampler or witnessed byMoua
Title of samplerASR Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameCalportland Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure nameLoverslane Bid ItemNot set

Material Information

Material TypeConcrete The concrete mix design number172457
The truck number from where the sample was collected2524 The batch plant ticket number from where the sample was collected260082
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedConcrete from wheelbarrow Where the material sample would have been placed if not sampled
From Lot No. Bag Lot No.

Submitted Tests

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