Sample Record

DIME Sample ID 2024-01-16-20

Project Information

Project IdentifiersProject ID: 993141
DEA: 060V1204
EFIS: 0616000207
DIST-CO-RTE-PM06-MAD-99-R6.9/R7.6
Award Date06/22/2022
Closeout Date12/02/2025
Work DescriptionCottonwood Creek Bridge Replacement - REPLACE BRIDGES AND CONSTRUCT RETAINING WALLS.
Location DescriptionMADERA COUNTY NEAR MADERA FROM 0.4 MILE SOUTH OF COTTONWOOD CREEK BRIDGE TO 0.1 MILE NORTH OF AVENUE 12 OVERCROSSING
QA Service Level1 (Verified on 07/28/2021)

Owner Lab

  • CT D06 - Millbrook Field Laboratory

Sample Information

Sample Taken Date01/16/2024 Sample Unique Key20
Date that the sample was received by the laboratory/organization performing the testing01/16/2024 Sample typeDepartment Acceptance
A brief description of the sample concrete aggregates The quantity of what the sample constitutesBetween 0-100 CY
From where was the sample collectedManufacturer First name of sampler or witnessed byNoah
Last name of sampler or witnessed byHunt Title of samplerConsultant
Telephone number of sampler Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameBuilders Concrete Ready Mix Plant Sanger
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)91-10-0010
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 collectedConveyor Belt
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size1 inch
The concrete mix design numberND22023 Lot number
Sublot number Aggregate Mix Number

Submitted Tests

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