Sample Record

Owner Lab

  • CT D09 - Field Laboratory

DIME Sample ID 2018-08-03-1

Project Information

Project IdentifiersProject ID: 212408
DEA: 09350804
EFIS: 0900020055
DIST-CO-RTE-PM09-MNO-395-80.6/84.1
Award Date07/14/2017
Closeout Date01/06/2020
Work DescriptionCONSTRUCT PULVERIZED ROADBED, HMA AND ANCHORED WIRE MESH SYSTEM.
Location DescriptionMONO COUNTY NEAR BRIDGEPORT FROM BUCKEYE ROAD TO 2.9 MILES SOUTH OF SWAUGER CANYON ROAD
QA Service Level1 (Verified on 05/03/2018)

Sample Information

Sample Taken Date08/03/2018 Sample Unique Key1
Will the laboratory/organization for which you are a member perform testing on this material sample?No Date that the sample was received by the laboratory/organization performing the testingNot set
Sample typeQuality Assurance A brief description of the sampleWall 1 truck 3
The quantity of what the sample constitutes1 truck load From where was the sample collectedJob Site
First name of sampler or witnessed byJeff Last name of sampler or witnessed byPuente
Title of samplerTester Telephone number of sampler6614400636
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameMammoth ready mix Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeConcrete The concrete mix design number1304-18-25
The truck number from where the sample was collected The batch plant ticket number from where the sample was collected43067
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedStn 1150 Where the material sample would have been placed if not sampled
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
No results found.