Sample Record

Owner Lab

  • CT D06 - Millbrook Field Laboratory

DIME Sample ID 2026-01-13-4

Project Information

Project IdentifiersProject ID: 1000063
DEA: 061F8804
EFIS: 0623000106
DIST-CO-RTE-PM06-KIN-41-R39.9/R48.3
Award Date04/03/2024
Closeout Date04/11/2025
Work DescriptionCOLD PLANE, HMA PAVING, AND INDIVIDUAL CONCRETE SLAB REPLACEMENT.
Location DescriptionKINGS COUNTY AT AND NEAR LEMOORE FROM ROUTE 41/198 SEPARATION TO FRESNO COUNTY LINE
QA Service Level1 (Verified on 01/29/2024)

Sample Information

Sample Taken Date01/13/2026 Sample Unique Key4
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 sampleRSC concrete aggregates 1x4 & Sand
The quantity of what the sample constitutes2 bags 1x4, Sand From where was the sample collectedFabricator
First name of sampler or witnessed byTomas Last name of sampler or witnessed bySilva
Title of samplerMREA Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameVanguard Construction Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name Bid Item20 - INDIVIDUAL SLAB REPLACEMENT (RSC)

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)91-10-0027
The fabricator's/manufacturer's product name for the sampleVanguard # 1785 The fabricator/manufacturer designation for the sampleRte 41 NB/ SB Lemoore
The plant number222 _8c97781 A detailed description of where the material sample was collectedStockpile @ Yard
Where the material sample would have been placed if not sampledvarious locations Primary Aggregate Nominal Size1 inch
The concrete mix design numberHE4X4BM Lot number
Sublot number Aggregate Mix NumberHE4x4BM

Submitted Tests

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