Sample Record
Owner Lab
- CT D06 - Millbrook Field Laboratory
DIME Sample ID 2024-10-01-17
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 1000011 DEA: 061G3904 EFIS: 0623000193 |
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DIST-CO-RTE-PM | 06-FRE-33-R62.9/R68.5 |
Award Date | 04/19/2024 |
Closeout Date | Not set |
Work Description | RUMBLE STRIPS, COLD PLANE, HOT MIX ASPHALT, AND SHOULDER BACKING. |
Location Description | FRESNO COUNTY NEAR MENDOTA FROM MAIN LIFT CANAL BRIDGE TO OUTSIDE CANAL BRIDGE |
QA Service Level | 1 (Verified on 01/08/2024) |
Sample Information
Sample Taken Date | 10/01/2024 | Sample Unique Key | 17 |
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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 | 10/02/2024 |
Sample type | Acceptance | A brief description of the sample | Shoulder Backing |
The quantity of what the sample constitutes | 1 bag shoulder backing recycling material | From where was the sample collected | Job Site |
First name of sampler or witnessed by | Joseph | Last name of sampler or witnessed by | Lopez |
Title of sampler | ARE | Telephone number of sampler | |
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Granite | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name |
Material Information
Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | Jobsite |
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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 -68.5 | |
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 |
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No results found. |
Test File Attachments
DIME Test ID: 2024-10-01-17-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2024-10-01-17-2 CTM 217-June 2011 (Verified)