Sample Record
Owner Lab
- CT D09 - Bishop Field Laboratory
DIME Sample ID 2023-03-27-22
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Project Information
| Project Identifiers | Project ID: 215691 DEA: 09377104 EFIS: 0918000041 |
|---|---|
| DIST-CO-RTE-PM | 09-KER-5713,5755- |
| Award Date | 10/27/2022 |
| Closeout Date | 08/01/2024 |
| Work Description | REMODEL MAINTENANCE STATION AND RELOCATE FUEL TANK. |
| Location Description | KERN COUNTY AT MOJAVE AT THE MOJAVE SPECIAL CREWS BUILDING AT 1365 BUSINESS ROUTE 58 AND AT THE MOJAVE MAINTENANCE STATION AT 2211 NADEAU STREET |
| QA Service Level | 1 (Verified on 06/23/2021) |
Sample Information
| Sample Taken Date | 03/27/2023 | Sample Unique Key | 22 |
|---|---|---|---|
| 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 | 03/28/2023 |
| Sample type | Quality Assurance | A brief description of the sample | Mix Design 3F40L003 |
| The quantity of what the sample constitutes | 1 1/2 CY | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Joseph | Last name of sampler or witnessed by | Valle |
| Title of sampler | Assistant Structure Representative | Telephone number of sampler | (951) 593-5183 |
| Laboratory sample identification | D9 | Linked DIME Sample ID | 2023-03-27-22 |
| The fabricator/manufacturer/facility name | Holliday Rock, Tehachapi Ca. | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | 09-377104 | |
| Structure name | Mojave Special Crews Building |
Material Information
| Material Type | Concrete | The concrete mix design number | 3F40L003 |
|---|---|---|---|
| The truck number from where the sample was collected | 813 | The batch plant ticket number from where the sample was collected | 112029950 |
| Concrete batch plant | Holliday Rock Company | The fabricator/manufacturer designation for the sample | Batch Plant |
| A detailed description of where the material sample was collected | Discharge from concrete truck into wheelbarrow. | Where the material sample would have been placed if not sampled | north concrete curb |
| From Lot No. | Bag Lot No. |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2023-03-27-22-1 ASTM C39-21 (Verified)
DIME Test ID: 2023-03-27-22-2 ASTM C39-21 (Verified)