Sample Record

Owner Lab

  • CT D09 - Bishop Field Laboratory

DIME Sample ID 2024-05-08-14

Project Information

Project IdentifiersProject ID: 215771
DEA: 09367504
EFIS: 0916000032
DIST-CO-RTE-PM09--5756-NA
Award Date03/23/2023
Closeout Date11/10/2025
Work DescriptionBuilding work, hot mix asphalt (type A)
Location DescriptionIN KERN COUNTY IN TEHACHAPI AT THE TEHACHAPI HIGHWAY MAINTENANCE STATION AT 305 INDUSTRIAL PARKWAY
QA Service Level1 (Verified on 05/13/2021)

Sample Information

Sample Taken Date05/08/2024 Sample Unique Key14
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 testing05/09/2024
Sample typeVerification A brief description of the sample3/4" Agg
The quantity of what the sample constitutes1 bag From where was the sample collectedSource
First name of sampler or witnessed byJosh Last name of sampler or witnessed byHubartt
Title of samplerTET Telephone number of sampler
Laboratory sample identificationJMF CF 2 Linked DIME Sample ID
The fabricator/manufacturer/facility nameGranite Solari 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)Solari Granite Plant
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 collectedSampling device at plant
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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