Sample Record

Owner Lab

  • CT D09 - Bishop Field Laboratory

DIME Sample ID 2026-01-13-1

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 Date01/13/2026 Sample Unique Key1
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 testing01/13/2026
Sample typeAcceptance A brief description of the sampleClass 2 Base
The quantity of what the sample constitutes1 bag of Class 2 ASB From where was the sample collectedSource
First name of sampler or witnessed byJosh Last name of sampler or witnessed byHubartt
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility namePapich Construction 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)91-14-0085
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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