Sample Record

Owner Lab

  • CT D09 - Bishop Field Laboratory

DIME Sample ID 2026-04-28-28

Project Information

Project IdentifiersProject ID: 1000682
DEA: 09379104
EFIS: 0919000005
DIST-CO-RTE-PM09-INY-395-91.6/100.8
Award Date02/20/2025
Closeout DateNot set
Work DescriptionCONSTRUCT HMA, CURB RAMPS, AND ELECTRICAL SYSTEMS.
Location DescriptionINYO COUNTY AT AND NEAR BIG PINE FROM 0.1 MILE SOUTH OF ELNA ROAD TO SOUTH JUNCTION ROUTE 168
QA Service Level1 (Verified on 01/13/2025)

Sample Information

Sample Taken Date04/28/2026 Sample Unique Key28
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 testing04/29/2026
Sample typeQuality Assurance A brief description of the sampleconcrete
The quantity of what the sample constitutes1 set of 5 Concrete cylinders From where was the sample collectedJob Site
First name of sampler or witnessed byDylan Last name of sampler or witnessed byCarapazza
Title of sampler Telephone number of sampler
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 collected The batch plant ticket number from where the sample was collected966719
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedDischarge chute from back of truck Where the material sample would have been placed if not sampled
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
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