Sample Record

DIME Sample ID 2023-06-19-14

Project Information

Project IdentifiersProject ID: 994363
DEA: 09391504
EFIS: 0922000013
MINOR: 09A0893
DIST-CO-RTE-PM09-INY,MNO,MNO,MNO,MNO-395,395,6,6-R18.08, 63.55, 21.14, 27.4
Award Date08/05/2022
Closeout Date01/02/2023
Work DescriptionDistrict CCTV and RWIS Replacements
Location DescriptionINYO AND MONO COUNTIES ON HIGHWAYS 395 AND 6
QA Service Level1 (Verified on 10/26/2022)

Owner Lab

  • CT D09 - Bishop Field Laboratory

Sample Information

Sample Taken Date06/19/2023 Sample Unique Key14
Date that the sample was received by the laboratory/organization performing the testing06/20/2023 Sample typeQuality Assurance
A brief description of the sample4 PCC Cylinders The quantity of what the sample constitutes2 yards
From where was the sample collectedJob Site First name of sampler or witnessed byJerid
Last name of sampler or witnessed byKupelian Title of samplerQA Material Tester
Telephone number of sampler8058042482 Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility name711 Materials Ridgecrest
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) Form
Structure unique identifier Structure namelocation 1
Bid ItemNot set

Material Information

Material TypeConcrete The concrete mix design number628211A
The truck number from where the sample was collected86026 The batch plant ticket number from where the sample was collected835741
Concrete batch plant711 Materials Ridgecrest The fabricator/manufacturer designation for the sampleconcrete plant
A detailed description of where the material sample was collectedCHUTE FROM 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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Sample File Attachments

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Test File Attachments