Sample Record

Owner Lab

  • CT D06 - Millbrook Field Laboratory

DIME Sample ID 2024-01-08-24

Project Information

Project IdentifiersProject ID: 995004
DEA: 060U0004
EFIS: 0615000296
DIST-CO-RTE-PM06-FRE,KER-33,58-70.6/76.0,27.8
Award Date09/13/2023
Closeout Date05/09/2025
Work DescriptionBRIDGE PREVENTIVE MAINTENANCE.
Location DescriptionFRESNO AND KERN COUNTIES IN FIREBAUGH ON ROUTE 33 FROM POSO CANAL BRIDGE TO COLONY MAIN CANAL BRIDGE AND NEAR MCKITTRICK ON ROUTE 58 AT MAIN DRAIN CANAL BRIDGE
QA Service Level1 (Verified on 07/27/2023)

Sample Information

Sample Taken Date01/08/2024 Sample Unique Key24
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 testing01/09/2024
Sample typeDepartment Acceptance A brief description of the sampleHigh Early Strength Mix
The quantity of what the sample constitutes5 CY From where was the sample collectedJob Site
First name of sampler or witnessed byGerzon Last name of sampler or witnessed byCeja
Title of samplerASR Telephone number of sampler5599172487
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameOutback Materials Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier42-0031
Structure nameColony Main Canal Bid ItemNot set

Material Information

Material TypeConcrete The concrete mix design number85T3G49
The truck number from where the sample was collected113 The batch plant ticket number from where the sample was collected152515
Concrete batch plantOutback Materials The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedwheelbarrow Where the material sample would have been placed if not sampledBent 2 and 3 Columns
From Lot No. Bag Lot No.

Submitted Tests

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