Sample Record

Owner Lab

  • CT D06 - Millbrook Field Laboratory

DIME Sample ID 2024-08-08-24

Project Information

Project IdentifiersProject ID: 994109
DEA: 060W1704
EFIS: 0617000103
DIST-CO-RTE-PM06-FRE-41-R27.4/R28.5
Award Date11/08/2022
Closeout DateNot set
Work DescriptionREMOVE AC PAVEMENT, WIDEN TRAVEL WAY, AND CONSTRUCT RETAINING WALL.
Location DescriptionFRESNO COUNTY IN FRESNO FROM 0.1 MILE SOUTH OF ASHLAN AVENUE OVERCROSSING TO SHAW AVENUE OVERCROSSING
QA Service Level1 (Verified on 07/13/2022)

Sample Information

Sample Taken Date08/08/2024 Sample Unique Key24
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 testing08/08/2024
Sample typeQuality Assurance A brief description of the sample3/4” Aggregate Base
The quantity of what the sample constitutesMaterial on-site From where was the sample collectedJob Site
First name of sampler or witnessed byNoah Last name of sampler or witnessed byHunt
Title of samplerSenior Materials Tester Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameSampled at jobsite 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)Jobsite
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 jobsite
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

DIME Test IDTest MethodTester Name, Testing LabDate TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
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