Sample Record
Owner Lab
- CT D09 - Bishop Field Laboratory
DIME Sample ID 2023-03-08-29
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Project Information
| Project Identifiers | Project ID: 214135 DEA: 09213404 EFIS: 0900000030 |
|---|---|
| DIST-CO-RTE-PM | 09-INY-395-29.9/41.8 |
| Award Date | 10/22/2021 |
| Closeout Date | Not set |
| Work Description | ROADWAY EXCAVATION, PLACE HMA (TYPE A), AND ALTERNATIVE PIPE CULVERT. |
| Location Description | INYO COUNTY NEAR OLANCHA AND CARTAGO FROM 1.4 MILES SOUTH OF LOS ANGELES AQUEDUCT BRIDGE TO 0.2 MILE SOUTH OF ASH CREEK BRIDGE |
| QA Service Level | 1 (Verified on 05/03/2019) |
Sample Information
| Sample Taken Date | 03/08/2023 | Sample Unique Key | 29 |
|---|---|---|---|
| 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 | 03/09/2023 |
| Sample type | Department Acceptance | A brief description of the sample | Class 2 Aggregate Base |
| The quantity of what the sample constitutes | 2 bags | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Jerid | Last name of sampler or witnessed by | Kupelian |
| Title of sampler | Materials Tester | Telephone number of sampler | 8058042482 |
| Laboratory sample identification | 09 | Linked DIME Sample ID | AB #7 |
| The fabricator/manufacturer/facility name | Fisher Sand and Gravel | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | olancha | Bid Item | Not set |
Material Information
| Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | Fisher Sand and Gravel Olancha |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | Olancha Cartago 4 Lane | The fabricator/manufacturer designation for the sample | |
| The plant number | A detailed description of where the material sample was collected | sampled onsite roadway | |
| Where the material sample would have been placed if not sampled | NL Roadway | Primary Aggregate Nominal Size | 3/4 inch |
| The concrete mix design number | NA | Lot number | 1 |
| Sublot number | 7 | Aggregate Mix Number | AB7 |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2023-03-08-29-1 AASHTO T27-14 (Verified)
DIME Test ID: 2023-03-08-29-2 CTM 301-March 2000 (Verified)