Sample Record
Owner Lab
- CT D09 - Bishop Field Laboratory
DIME Sample ID 2025-10-29-56
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Project Information
| Project Identifiers | Project ID: 993798 DEA: 09366804 EFIS: 0916000021 |
|---|---|
| DIST-CO-RTE-PM | 09-INY-395-117.3/117.9 |
| Award Date | 04/03/2025 |
| Closeout Date | Not set |
| Work Description | MEADOW FARMS ADA |
| Location Description | INYO COUNTY NEAR BISHOP FROM 0.1 MILE EAST OF SEE VEE LANE TO BARLOW LANE |
| QA Service Level | 1 (Verified on 08/14/2023) |
Sample Information
| Sample Taken Date | 10/29/2025 | Sample Unique Key | 56 |
|---|---|---|---|
| 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 | 10/30/2025 |
| Sample type | Preliminary | A brief description of the sample | 3 PCC Cylinders 4 x 8 |
| The quantity of what the sample constitutes | Bridge Deck Trial Batch | From where was the sample collected | Source |
| First name of sampler or witnessed by | Dylan | Last name of sampler or witnessed by | Carapazza |
| Title of sampler | Consultant | Telephone number of sampler | |
| Laboratory sample identification | PCC-004 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | 7/11 | Transportation Laboratory (TL) Number | 5199 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Bridge Deck Trial Batch | Bid Item | Not set |
Material Information
| Material Type | Concrete | The concrete mix design number | 0 |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 0 | |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | First Portion of Truck | 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: 2025-10-29-56-1 CTM 521-June 2020 (Verified)