Sample Record
Owner Lab
- CT D06 - Millbrook Field Laboratory
DIME Sample ID 2022-12-15-15
Project Information
Project Identifiers | Project ID: 215348 DEA: 060U4204 EFIS: 0616000004 |
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DIST-CO-RTE-PM | 06-FRE-99-R4.9/11.6 |
Award Date | 02/25/2021 |
Closeout Date | Not set |
Work Description | CONSTRUCT CRCP, PLACE HMA, AND ROADWAY EXCAVATION. |
Location Description | FRESNO COUNTY IN AND NEAR SELMA AND FOWLER FROM MCCALL AVENUE UNDERCROSSING TO 0.5 MILE NORTH OF MERCED STREET UNDERCROSSING |
QA Service Level | 1 (Verified on 12/07/2020) |
Sample Information
Sample Taken Date | 12/15/2022 | Sample Unique Key | 15 |
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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 testing | 12/21/2022 |
Sample type | Quality Assurance | A brief description of the sample | CRCP Field cure |
The quantity of what the sample constitutes | 1000CY | From where was the sample collected | Job Site |
First name of sampler or witnessed by | Tomas | Last name of sampler or witnessed by | Silva |
Title of sampler | TET | Telephone number of sampler | |
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Security Paving batch plant | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name |
Material Information
Material Type | Concrete | The concrete mix design number | G3-22-PCC-291 |
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The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | Unknown | |
Concrete batch plant | Manning | The fabricator/manufacturer designation for the sample | |
A detailed description of where the material sample was collected | SKIPLOADER TO WHEELBARROW | Where the material sample would have been placed if not sampled | |
From Lot No. | Bag Lot No. |
Submitted Tests
DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
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No results found. |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |