Sample Record
Owner Lab
- CT D06 - Millbrook Field Laboratory
DIME Sample ID 2024-09-08-10
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Project Information
| Project Identifiers | Project ID: 994895 DEA: 060X2804 EFIS: 0618000049 |
|---|---|
| DIST-CO-RTE-PM | 06-FRE-5-60.1/66.2 |
| Award Date | 08/31/2023 |
| Closeout Date | 12/02/2025 |
| Work Description | COLD PLANE EXISTING PAVEMENT AND RESURFACE WITH HMA AND RHMA. |
| Location Description | FRESNO COUNTY ABOUT 21 MILES WEST OF MENDOTA FROM SHIELDS AVENUE OVERCROSSING TO MERCED COUNTY LINE |
| QA Service Level | 1 (Verified on 06/27/2023) |
Sample Information
| Sample Taken Date | 09/08/2024 | Sample Unique Key | 10 |
|---|---|---|---|
| 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 | 09/09/2024 |
| Sample type | Acceptance | A brief description of the sample | 3/4" Shoulder Backing |
| The quantity of what the sample constitutes | 1 bag | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Jorge | Last name of sampler or witnessed by | Martinez |
| Title of sampler | ARE | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Granite Coalinga | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Bid Item | Not set |
Material Information
| Material Type | Aggregate | 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 collected | PM. 62.3 | |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 3/4 inch | |
| The concrete mix design number | Lot number | ||
| Sublot number | Aggregate Mix Number |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2024-09-08-10-1 CTM 202-November 2011 (Verified)