Sample Record
Owner Lab
- CT D09 - Bishop Field Laboratory
DIME Sample ID 2018-08-13-3
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 212408 DEA: 09350804 EFIS: 0900020055 |
|---|---|
| DIST-CO-RTE-PM | 09-MNO-395-80.6/84.1 |
| Award Date | 07/14/2017 |
| Closeout Date | 01/06/2020 |
| 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 |
| QA Service Level | 1 (Verified on 05/03/2018) |
Sample Information
| Sample Taken Date | 08/13/2018 | Sample Unique Key | 3 |
|---|---|---|---|
| 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 | 08/14/2018 |
| Sample type | Quality Assurance | A brief description of the sample | RW1 Wall Pour |
| The quantity of what the sample constitutes | 1 set of 2 | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Jeff | Last name of sampler or witnessed by | Puente |
| Title of sampler | Tester | Telephone number of sampler | 6614400636 |
| Laboratory sample identification | Unknown | Linked DIME Sample ID | Unknown |
| The fabricator/manufacturer/facility name | Mammoth ready mix | Transportation Laboratory (TL) Number | Unknown |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Unknown | Structure unique identifier | Unknown |
| Structure name | RW1 Wall |
Material Information
| Material Type | Concrete | The concrete mix design number | 1304-18-25 |
|---|---|---|---|
| The truck number from where the sample was collected | 141 | The batch plant ticket number from where the sample was collected | 43187 |
| Concrete batch plant | Unknown | The fabricator/manufacturer designation for the sample | Unknown |
| A detailed description of where the material sample was collected | RW1 Wall pour at Sta 111 plus 55 | Where the material sample would have been placed if not sampled | RW1 Wall at Sta 111 plus 55 |
| From Lot No. | Unknown | Bag Lot No. | Unknown |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
|---|---|---|---|---|---|---|---|---|
| No results found. | ||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||