Sample Record

Owner Lab

  • CT D09 - Bishop Field Laboratory

DIME Sample ID 2026-01-15-22

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 Date01/15/2026 Sample Unique Key22
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 testing01/15/2026
Sample typeQuality Assurance A brief description of the sampleMix #851456A6
The quantity of what the sample constitutes6 cylinders From where was the sample collectedJob Site
First name of sampler or witnessed byDarrell Last name of sampler or witnessed byBiederman
Title of samplerTET Telephone number of sampler7609203898
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility name711 materials 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 number851456A6
The truck number from where the sample was collected989 The batch plant ticket number from where the sample was collected953604
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedNoble ditch US 395 northbound headwall Where the material sample would have been placed if not sampledNoble ditch headwall
From Lot No. Bag Lot No.

Submitted Tests

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