Sample Record
Owner Lab
- CT D06 - Millbrook Field Laboratory
DIME Sample ID 2023-08-08-45
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 994998 DEA: 061E5704 EFIS: 0622000070 |
|---|---|
| DIST-CO-RTE-PM | 06-FRE-145-26.1/34/1, 2.0/8.0 |
| Award Date | 04/18/2023 |
| Closeout Date | 02/26/2024 |
| Work Description | Cold plane asphalt concrete pavement and place RHMA. |
| Location Description | FOR CONSTRUCTION ON STATE HIGHWAY IN FRESNO COUNTY IN AND NEAR KERMAN FROM MANNING AVENUE TO 0.1 MILE SOUTH OF CALIFORNIA AVENUE AND IN THE CITY AND COUNTY OF MADERA FROM 0.1 MILE NORTH OF AVENUE 7 TO 0.1 MILE SOUTH OF AVENUE 13 |
| QA Service Level | 1 (Verified on 08/15/2023) |
Sample Information
| Sample Taken Date | 08/08/2023 | Sample Unique Key | 45 |
|---|---|---|---|
| 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 | 08/09/2023 |
| Sample type | Department Acceptance | A brief description of the sample | Shoulder Backing |
| The quantity of what the sample constitutes | 200 tons | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Daniel | Last name of sampler or witnessed by | Allison |
| Title of sampler | TE | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Granite Coalinga | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Bid Item | Not set |
Material Information
| Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | Granite Coalinga |
|---|---|---|---|
| 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 collected | Windrow | |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 3/4 inch | |
| The concrete mix design number | Lot number | ||
| Sublot number | Aggregate Mix Number |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2023-08-08-45-1 CTM 202-November 2011 (Verified)