Sample Record
Owner Lab
- CT D09 - Bishop Field Laboratory
DIME Sample ID 2023-10-18-23
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Project Information
| Project Identifiers | Project ID: 994330 DEA: 09366404 EFIS: 0916000006 |
|---|---|
| DIST-CO-RTE-PM | 09-MNO-395-58.2/60.4 |
| Award Date | 04/03/2023 |
| Closeout Date | 07/23/2025 |
| Work Description | HOT MIX ASPHALT (TYPE A), IMPORTED BORROW, AND ROADWAY EXCAVATION. |
| Location Description | MONO COUNTY ABOUT 6 MILES NORTH OF LEE VINING FROM ROUTE 167 TO 0.4 MILE NORTH OF CONWAY RANCH ROAD |
| QA Service Level | 1 (Verified on 07/31/2023) |
Sample Information
| Sample Taken Date | 10/18/2023 | Sample Unique Key | 23 |
|---|---|---|---|
| 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 | 10/19/2023 |
| Sample type | Department Acceptance | A brief description of the sample | 3600 Psi / 7-11 Mix |
| The quantity of what the sample constitutes | 16 Cubic Yards | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Jeffery | Last name of sampler or witnessed by | Puente |
| Title of sampler | QA | Telephone number of sampler | 6614400636 |
| Laboratory sample identification | Conc-05 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | 7-11 Materials | 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 | Concrete | The concrete mix design number | 750416A6 |
|---|---|---|---|
| The truck number from where the sample was collected | 89393 | The batch plant ticket number from where the sample was collected | 853439 |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | DS-1 Headwall Outlet | 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: 2023-10-18-23-1 ASTM C39-18 (Verified)
DIME Test ID: 2023-10-18-23-2 ASTM C39-18 (Verified)