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Sample Record for 2021-01-01-1

Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.

Project Information

Project ID: 215075 DEA: 060Q9104 EFIS: 0614000005 QA Service Level: 1
DIST-CO-RTE-PM: 06-TUL-99-19.2/19.8
Work Description: BRIDGE DECK AND OUTSIDE GIRDER REPLACEMENT.
Location Description: TULARE COUNTY NEAR TIPTON FROM 0.3 MILE SOUTH TO 0.3 MILE NORTH OF AVENUE 152 OVERCROSSING
Contractor Name: GRANITE CONSTRUCTION COMPANY
Contractor Address: 2716 Granite Court, Fresno, CA 93706
Resident Engineer: Javier Huerta Structure Rep.: Peter Moua

Sample Information

DIME Sample ID: 2021-01-01-1
TL Number from the TL Form:
Sample Submitted By Organization: Con-Fab California, LLC
Sample Organization Contact: 661-630-7162
Type of Sample: Quality Control
Type of Material: Aggregate
Sample Taken Date: 01/01/2021
Date that the sample was received by the laboratory/organization performing the testing: 01/04/2021
The quantity of what the sample constitutes: g
A brief description of the sample: g
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: g

Material Information

Source Identification (SMARA or name of Pit): 91-15-0041
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: r
Where the material sample would have been placed if not sampled:
Primary Aggregate Nominal Size: fine
The concrete mix design number:
Lot number:
Sublot number:

Test Results

Tests Assigned to this Sample

DIME Test IDTest MethodAssigned DateTest DateAssigned ByAssigned LabTest CommentsAssigned To
No tests have been assigned to this sample.