Sample Record

Owner Lab

  • Con-Fab California, LLC

DIME Sample ID 2024-03-27-89

Project Information

Project IdentifiersProject ID: 994820
DEA: 060V1104
EFIS: 0616000208
DIST-CO-RTE-PM06-FRE,KIN-5,41,198-Var
Award Date08/31/2023
Closeout Date05/09/2025
Work DescriptionSTRATFORD KINGS RIVER BRIDGE REPLACEMENT.
Location DescriptionFRESNO AND KINGS COUNTIES AT VARIOUS LOCATIONS
QA Service Level1 (Verified on 09/20/2023)

Sample Information

Sample Taken Date03/27/2024 Sample Unique Key89
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 testing03/27/2024
Sample typeQuality Control A brief description of the sample1 Bucket of 1/2", 1 Bucket of 3/8", One Bucket of Sand
The quantity of what the sample constitutes1 Bucket of 1/2", 1 Bucket of 3/8", One Bucket of Sand From where was the sample collectedManufacturer
First name of sampler or witnessed byBenjamin Last name of sampler or witnessed byAragon
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameCon-Fab California, LLC - Shafter 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)Con-Fab California, LLC
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 collectedStockpile at the Plant
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size1/2 inch
The concrete mix design number Lot number
Sublot number Aggregate Mix Number

Submitted Tests

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