Sample Record

Owner Lab

  • CT D09 - Bishop Field Laboratory

DIME Sample ID 2026-02-04-21

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 Date02/04/2026 Sample Unique Key21
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 testing02/05/2026
Sample typeQuality Assurance A brief description of the samplePed bridge footing #3
The quantity of what the sample constitutes4 (6x12 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 name7-11 Materials Bishop Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure nameMeadow farms ped bridge Bid ItemNot set

Material Information

Material TypeConcrete The concrete mix design number851259c6
The truck number from where the sample was collected83993 The batch plant ticket number from where the sample was collected956584
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedMeadow Farms pedestrian bridge footing #3 Where the material sample would have been placed if not sampled
From Lot No. Bag Lot No.

Submitted Tests

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