Sample Record
Owner Lab
- CT D09 - Bishop Field Laboratory
DIME Sample ID 2023-08-23-61
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Project Information
| Project Identifiers | Project ID: 993685 DEA: 09382304 EFIS: 0919000038 |
|---|---|
| DIST-CO-RTE-PM | 09-KER,MNO-395-Var |
| Award Date | 06/15/2022 |
| Closeout Date | 08/29/2024 |
| Work Description | FURNISH AND INSTALL SIGN STRUCTURE (TRUSS); AND PLACE AND MODIFY CMS. |
| Location Description | KERN AND MONO COUNTIES AT VARIOUS LOCATIONS |
| QA Service Level | 1 (Verified on 10/31/2022) |
Sample Information
| Sample Taken Date | 08/23/2023 | Sample Unique Key | 61 |
|---|---|---|---|
| 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 | 08/28/2023 |
| Sample type | Department Acceptance | A brief description of the sample | Structural PCC |
| The quantity of what the sample constitutes | 12 PCC 4x8 Cylinders | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Derek | Last name of sampler or witnessed by | Armon |
| Title of sampler | Structures Rep | Telephone number of sampler | |
| Laboratory sample identification | PCC-01 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Mammoth ready mix | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | CMS LOC 2 |
Material Information
| Material Type | Concrete | The concrete mix design number | 1304-18-25A |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | Truck 1 | |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | Middle of Truck 1 | Where the material sample would have been placed if not sampled | |
| From Lot No. | Bag Lot No. |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2023-08-23-61-1 CTM 521-June 2020 (Verified)
DIME Test ID: 2023-08-23-61-2 CTM 521-June 2020 (Verified)