Sample Record

Owner Lab

  • CT D06 - Millbrook Field Laboratory

DIME Sample ID 2024-06-24-46

Project Information

Project IdentifiersProject ID: 993855
DEA: 060U4604
EFIS: 0615000309
DIST-CO-RTE-PM06-KIN-41-20.0-28.4
Award Date06/30/2023
Closeout Date05/09/2025
Work DescriptionCOLD CENTRAL PLANT RECYCLING, HMA AND HMA-OGFC.
Location DescriptionKINGS COUNTY NEAR KETTLEMAN CITY FROM 0.1 MILE SOUTH OF QUAIL AVENUE TO NEVADA AVENUE
QA Service Level1 (Verified on 05/20/2022)

Sample Information

Sample Taken Date06/24/2024 Sample Unique Key46
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 testing06/25/2024
Sample typeAcceptance A brief description of the sample3/8″ Chips for Use in ARB Chip Seal
The quantity of what the sample constitutes1 bag 3/8 chips From where was the sample collectedJob Site
First name of sampler or witnessed byArthur Last name of sampler or witnessed byMills
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameGranite Coalinga 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)granite
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 Size3/8 inch
The concrete mix design number Lot number
Sublot number Aggregate Mix Number

Submitted Tests

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