Sample Record

Owner Lab

  • CT D06 - Millbrook Field Laboratory

DIME Sample ID 2026-07-17-27

Project Information

Project IdentifiersProject ID: 1001574
DEA: 060X4304
EFIS: 0618000065
COOP: NONE
DIST-CO-RTE-PM06-FRE-5725--
Award DateNot set
Closeout DateNot set
Work DescriptionTREE CREW AND SPECIAL CREWS BUILDING.
Location DescriptionFRESNO COUNTY IN FRESNO AT WEST AVENUE MAINTENANCE STATION AT 1283 NORTH WEST AVENUE
QA Service Level1 (Verified on 09/15/2025)

Sample Information

Sample Taken Date07/17/2026 Sample Unique Key27
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 testing07/17/2026
Sample typeAcceptance A brief description of the sampleConcrete aggs
The quantity of what the sample constitutes130 cy From where was the sample collectedManufacturer
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 nameCemex south fresno Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name Bid ItemNot set

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)91-10-0014
The fabricator's/manufacturer's product name for the sample The fabricator/manufacturer designation for the sample
The plant number A detailed description of where the material sample was collectedfrom belt at the plant
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size1 inch
The concrete mix design number Lot number
Sublot number Aggregate Mix Number

Submitted Tests

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