Sample Record

Owner Lab

  • CT D09 - Bishop Field Laboratory

DIME Sample ID 2025-12-01-3

Project Information

Project IdentifiersProject ID: 1000541
DEA: 09374704
EFIS: 0918000019
DIST-CO-RTE-PM09-INY-168,395-17.6/18.3,114.9/117.8
Award Date02/21/2025
Closeout DateNot set
Work DescriptionHMA (TYPE A), MINOR CONCRETE, AND LIGHTING.
Location DescriptionINYO COUNTY IN AND NEAR BISHOP ON ROUTE 395 FROM 0.1 MILE SOUTH OF JAY STREET TO BARLOW LANE AND ON ROUTE 168 FROM PIONEER LANE TO ROUTE 395
QA Service Level1 (Verified on 09/02/2024)

Sample Information

Sample Taken Date12/01/2025 Sample Unique Key3
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 testing12/01/2025
Sample typeAcceptance A brief description of the sampleClass 2 Base
The quantity of what the sample constitutes1 bag class From where was the sample collectedSource
First name of sampler or witnessed byMatthew Last name of sampler or witnessed byGonzalez
Title of samplerTE Telephone number of sampler7609373981
Laboratory sample identificationC2B10 Linked DIME Sample ID
The fabricator/manufacturer/facility nameBishop landfill 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)Jobsite
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 collectedStockpile @ Plant
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size3/4 inch
The concrete mix design number Lot number
Sublot number Aggregate Mix Number

Submitted Tests

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