Sample Record

DIME Sample ID 2024-05-07-6

Project Information

Project IdentifiersProject ID: 995257
DEA: 09401004
EFIS: 0924000007
DIST-CO-RTE-PM09-INY-190-9.8-68.0
Award Date08/21/2023
Closeout Date03/13/2025
Work DescriptionEmergency Repair from Flood Damage to State Route 190 near Olancha, CA.
Location DescriptionState Route 190
QA Service Level1 (Verified on 10/19/2023)

Owner Lab

  • CT D09 - Bishop Field Laboratory

Sample Information

Sample Taken Date05/07/2024 Sample Unique Key6
Date that the sample was received by the laboratory/organization performing the testing05/07/2024 Sample typeDepartment Acceptance
A brief description of the sample3/4" HMA Post {Plant Gradation The quantity of what the sample constitutesI Box of HMA
From where was the sample collectedJob Site First name of sampler or witnessed byDerek
Last name of sampler or witnessed byCarrington Title of samplerMREA
Telephone number of sampler7609208313 Laboratory sample identification3886
Linked DIME Sample IDHMA-02 Grad The fabricator/manufacturer/facility nameGranite 5 Bridges Bishop 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)00-00-0000
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 collectedWindrow at Job Site
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size3/4 inch
The concrete mix design number Lot number
Sublot number Aggregate Mix Number

Submitted Tests

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