Sample Record

Owner Lab

  • CT D06 - Millbrook Field Laboratory

DIME Sample ID 2026-01-13-9

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 Key9
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 sampleConcrete beams
The quantity of what the sample constitutes10 Cy From where was the sample collectedJob Site
First name of sampler or witnessed byJonathon Last name of sampler or witnessed byChaney
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameG3 Quality, Inc. Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name Bid ItemNot set

Material Information

Material TypeConcrete The concrete mix design numberHE4x4BM
The truck number from where the sample was collected The batch plant ticket number from where the sample was collectedjobsite
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedcement truck chute @ jobsite Where the material sample would have been placed if not sampled
From Lot No. Bag Lot No.

Submitted Tests

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