Sample Record

Owner Lab

  • CT D06 - Millbrook Field Laboratory

DIME Sample ID 2024-08-13-58

Project Information

Project IdentifiersProject ID: 994895
DEA: 060X2804
EFIS: 0618000049
DIST-CO-RTE-PM06-FRE-5-60.1/66.2
Award Date08/31/2023
Closeout Date12/02/2025
Work DescriptionCOLD PLANE EXISTING PAVEMENT AND RESURFACE WITH HMA AND RHMA.
Location DescriptionFRESNO COUNTY ABOUT 21 MILES WEST OF MENDOTA FROM SHIELDS AVENUE OVERCROSSING TO MERCED COUNTY LINE
QA Service Level1 (Verified on 06/27/2023)

Sample Information

Sample Taken Date08/13/2024 Sample Unique Key58
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 testing08/13/2024
Sample typeAcceptance A brief description of the sample1/2 RHMA CF
The quantity of what the sample constitutes259 Tons From where was the sample collectedManufacturer
First name of sampler or witnessed byJonathon Last name of sampler or witnessed byChaney
Title of samplerTET Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameGranite Construction Company 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)91-10-0005
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 collectedCold feed Conveyor Belt
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size1/2 inch
The concrete mix design number Lot number5
Sublot number1 Aggregate Mix Number13436 s

Submitted Tests

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