Sample Record
Owner Lab
- CT D06 - Millbrook Field Laboratory
DIME Sample ID 2024-03-14-30
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Project Information
| Project Identifiers | Project ID: 211080 DEA: 060V0304 |
|---|---|
| DIST-CO-RTE-PM | 06-KER-99-7.3 |
| Award Date | Not set |
| Closeout Date | 04/04/2022 |
| Work Description | Girder replacement and repairs due to bridge hit |
| Location Description | Near Bakersfield, from 7.3 miles N of the Rte 99/5 Jct to 6.1 miles S of the Rte 99/119 Jct at Ker 99-7.29 |
| QA Service Level | 1 (Verified on 01/29/2016) |
Sample Information
| Sample Taken Date | 03/14/2024 | Sample Unique Key | 30 |
|---|---|---|---|
| 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 | 03/15/2024 |
| Sample type | Department Acceptance | A brief description of the sample | 4x8 concrete cylinders |
| The quantity of what the sample constitutes | 4 sets cylinders | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Fares | Last name of sampler or witnessed by | Thwabah |
| Title of sampler | ASR | Telephone number of sampler | 5593679003 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Viking | 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 | NCT09064 |
|---|---|---|---|
| The truck number from where the sample was collected | 117187984 | The batch plant ticket number from where the sample was collected | Abut 8 piles |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | From the truck | 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: 2024-03-14-30-1 CTM 521-June 2020 (Verified)