Sample Record

DIME Sample ID 2023-06-30-2

Project Information

Project IdentifiersProject ID: 993141
DEA: 060V1204
EFIS: 0616000207
DIST-CO-RTE-PM06-MAD-99-R6.9/R7.6
Award Date06/22/2022
Closeout Date12/02/2025
Work DescriptionCottonwood Creek Bridge Replacement - REPLACE BRIDGES AND CONSTRUCT RETAINING WALLS.
Location DescriptionMADERA COUNTY NEAR MADERA FROM 0.4 MILE SOUTH OF COTTONWOOD CREEK BRIDGE TO 0.1 MILE NORTH OF AVENUE 12 OVERCROSSING
QA Service Level1 (Verified on 07/28/2021)

Owner Lab

  • CT D06 - Millbrook Field Laboratory

Sample Information

Sample Taken Date06/30/2023 Sample Unique Key2
Date that the sample was received by the laboratory/organization performing the testing06/30/2023 Sample typeDepartment Acceptance
A brief description of the sample1x4, Sand The quantity of what the sample constitutes2 bags 1x4, Sand
From where was the sample collectedManufacturer First name of sampler or witnessed byTomas
Last name of sampler or witnessed bySilva Title of samplerTET
Telephone number of sampler559 3413953 Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameCVC Chowchilla
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)91-24-0045
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 number3802 Lot number
Sublot number Aggregate Mix Number

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
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