Sample Record
Owner Lab
- CT D06 - Millbrook Field Laboratory
DIME Sample ID 2024-07-12-44
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Project Information
| Project Identifiers | Project ID: 1000114 DEA: 060W8204 EFIS: 0617000304 |
|---|---|
| DIST-CO-RTE-PM | 06-KIN-41-28.4/R40.1 |
| Award Date | 05/22/2024 |
| Closeout Date | Not set |
| Work Description | COLD PLANE WITH HOT MIX ASPHALT (TYPE A) AND RHMA-G. |
| Location Description | KINGS COUNTY AT AND NEAR STRATFORD FROM NEVADA AVENUE TO ROUTE 41/198 SEPARATION |
| QA Service Level | 1 (Verified on 02/26/2024) |
Sample Information
| Sample Taken Date | 07/12/2024 | Sample Unique Key | 44 |
|---|---|---|---|
| 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 | 07/15/2024 |
| Sample type | Acceptance | A brief description of the sample | PPC Cylinders |
| The quantity of what the sample constitutes | 300 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Martin | Last name of sampler or witnessed by | Garcia |
| Title of sampler | Structure Representative | Telephone number of sampler | 5592469430 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Outback Materials, Fresno | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | 45-0014 | |
| Structure name | Empire No. 2 Canal Bridge |
Material Information
| Material Type | Concrete | The concrete mix design number | 72T1G36 |
|---|---|---|---|
| The truck number from where the sample was collected | 3 | The batch plant ticket number from where the sample was collected | 163943 |
| Concrete batch plant | Outback Materials | The fabricator/manufacturer designation for the sample | |
| A detailed description of where the material sample was collected | Concrete from wheelbarrow | Where the material sample would have been placed if not sampled | SB Arrival and Departure Approach Slabs |
| 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: 2024-07-12-44-1 CTM 521-June 2020 (Verified)
DIME Test ID: 2024-07-12-44-2 CTM 521-June 2020 (Verified)
DIME Test ID: 2024-07-12-44-3 CTM 521-June 2020 (Verified)