Sample Record

Owner Lab

  • CT D06 - Bakersfield Field Laboratory

DIME Sample ID 2023-05-15-13

Project Information

Project IdentifiersProject ID: 215180
DEA: 060Q9204
EFIS: 0614000010
COOP: 061764
DIST-CO-RTE-PM06-KER-99-10.4/21.2
Award Date12/08/2020
Closeout DateNot set
Work DescriptionCONSTRUCT CRCP AND HMA (TYPE A) PAVEMENT.
Location DescriptionKERN COUNTY IN AND NEAR BAKERSFIELD FROM 0.4 MILE SOUTH OF OLD US 99 OVERCROSSING TO 0.1 MILE NORTH OF WHITE LANE OVERCROSSING
QA Service Level1 (Verified on 09/14/2020)

Sample Information

Sample Taken Date05/15/2023 Sample Unique Key13
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 testing05/16/2023
Sample typeDepartment Acceptance A brief description of the sampleCRCP Aggregates
The quantity of what the sample constitutes2 bags of aggregate 1 bag sand From where was the sample collectedSource
First name of sampler or witnessed byJames Last name of sampler or witnessed byWatson
Title of sampler Telephone number of sampler6615498281
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameHwy 223 off ramp sb 99 Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)91-15-0068
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 collectedConveyor Belt
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size1 inch
The concrete mix design numberG3-21-PCC-263 Lot number
Sublot number Aggregate Mix Number

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Sample File Attachments

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Test File Attachments