Sample Record for 2018-06-29-8
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 212408 DEA: 09350804 EFIS: 0900020055
QA Service Level: 1
DIST-CO-RTE-PM: 09-MNO-395-80.6/84.1
Work Description: CONSTRUCT PULVERIZED ROADBED, HMA AND ANCHORED WIRE MESH SYSTEM.
Location Description: MONO COUNTY NEAR BRIDGEPORT FROM BUCKEYE ROAD TO 2.9 MILES SOUTH OF SWAUGER CANYON ROAD
Contractor Name: PAPICH CONSTRUCTION COMPANY, INC.
Contractor Address: PO BOX 2210, PISMO BEACH PO BOX 2210 CA 9344
Resident Engineer: Lee Scotese Structure Rep.: Unknown
Sample Information
DIME Sample ID: 2018-06-29-8
TL Number from the TL Form: Unknown
Sample Submitted By Organization: CT D09 - Bishop Field Laboratory
Sample Organization Contact: (760) 872-5211
Type of Sample: Quality Assurance
Type of Material: Aggregate
Sample Taken Date: 06/29/2018
Date that the sample was received by the laboratory/organization performing the testing: 07/02/2018
The quantity of what the sample constitutes: 1 day
A brief description of the sample: Aggregate gradation
From where was the sample collected: Source
Laboratory sample identification: Unknown
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Road and Highway Builders
Material Information
Source Identification (SMARA, name of Pit or Job Site): Nevada, Hunewill
The fabricator's/manufacturer's product name for the sample: Unknown
The fabricator/manufacturer designation for the sample: Unknown
The plant number: Unknown
A detailed description of where the material sample was collected: Nevada
Where the material sample would have been placed if not sampled: Unknown
Primary Aggregate Nominal Size: 3/4 inch
The concrete mix design number: Unknown
Lot number:
Sublot number:
Aggregate Mix Number:
Test Results
