Sample Record

Owner Lab

  • CT D06 - Millbrook Field Laboratory

DIME Sample ID 2023-11-02-22

Project Information

Project IdentifiersProject ID: 994820
DEA: 060V1104
EFIS: 0616000208
DIST-CO-RTE-PM06-FRE,KIN-5,41,198-Var
Award Date08/31/2023
Closeout Date05/09/2025
Work DescriptionSTRATFORD KINGS RIVER BRIDGE REPLACEMENT.
Location DescriptionFRESNO AND KINGS COUNTIES AT VARIOUS LOCATIONS
QA Service Level1 (Verified on 09/20/2023)

Sample Information

Sample Taken Date11/02/2023 Sample Unique Key22
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 testing11/02/2023
Sample typeDepartment Acceptance A brief description of the sample1/2" Coldfeed
The quantity of what the sample constitutes921 Tons From where was the sample collectedManufacturer
First name of sampler or witnessed byArthur Last name of sampler or witnessed byMills
Title of samplerConsultant Telephone number of sampler8033087727
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameGranite Coalinga HMA Plant 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)91-10-0005
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 collectedFeed Belt
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size1/2 inch
The concrete mix design number Lot number1
Sublot number9 Aggregate Mix Number

Submitted Tests

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