Sample Record

DIME Sample ID 2024-06-06-131

Project Information

Project IdentifiersProject ID: 214486
DEA: 080K1224
EFIS: 0815000244
DIST-CO-RTE-PM08-SBD-15-R28.6/37.5
Award Date09/24/2021
Closeout Date11/03/2025
Work DescriptionREHBILIATATE EXISTING MAINLINE AND RAMP PAVEMENT
Location DescriptionSAN BERNARDINO COUNTY IN HESPERIA AND VICTORVILLE FROM OAK HILL ROAD OVERCROSSING TO 0.1 MILE SOUTH OF BEAR VALLEY ROAD OVERCROSSING
QA Service Level1 (Verified on 06/23/2021)

Owner Lab

  • CT D08 - Barstow Field Laboratory 1

Sample Information

Sample Taken Date06/06/2024 Sample Unique Key131
Date that the sample was received by the laboratory/organization performing the testing06/06/2024 Sample typeAcceptance
A brief description of the sample1x 4 PCC Aggregates The quantity of what the sample constitutes3 bags
From where was the sample collectedManufacturer First name of sampler or witnessed byEdmond
Last name of sampler or witnessed byJabbour Title of sampler
Telephone number of sampler Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameSully Miller
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)91-36-0040
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 collectedAt the plant
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Sizefine
The concrete mix design numberG3-22-PCC-273 Lot number
Sublot number Aggregate Mix Number

Submitted Tests

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