Sample Record

Owner Lab

  • Trinity Engineering Laboratories, Inc. - Fresno

DIME Sample ID 2020-06-08-26

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 214292
DEA: 060Q9004
EFIS: 0614000047
DIST-CO-RTE-PM06-FRE-180-92.2,130.1
Award Date12/13/2019
Closeout Date10/29/2020
Work DescriptionREPLACE BRIDGE RAILS.
Location DescriptionFRESNO COUNTY NEAR SQUAW VALLEY AT MILL CREEK BRIDGE AND NEAR BOYDEN CAVE AT SOUTH FORK KINGS RIVER BRIDGE
QA Service Level1 (Verified on 08/05/2019)

Sample Information

Sample Taken Date06/08/2020 Sample Unique Key26
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 testing06/05/2020
Sample typeQuality Control A brief description of the sample1x4, 3/8, Sand
The quantity of what the sample constitutes3 bags From where was the sample collectedManufacturer
First name of sampler or witnessed byElwin Last name of sampler or witnessed byGarcia
Title of samplerQC Technician Telephone number of sampler5592922188
Laboratory sample identification20-166 Combined Linked DIME Sample ID
The fabricator/manufacturer/facility nameOutback Materials Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier10-42-0080
Structure nameMill Creek Bridge

Material Information

Material TypeAggregate Source Identification (SMARA or name of Pit)91-10-0005
The fabricator's/manufacturer's product name for the sample1x4 Gravel 3/8 Pea Gravel Concrete sand The fabricator/manufacturer designation for the sampleMill Creek Bridge
The plant number106 A detailed description of where the material sample was collectedBelt Cut
Where the material sample would have been placed if not sampledUnknown Primary Aggregate Nominal Size1 inch
The concrete mix design number72T1X10 Lot number1
Sublot number1 HMA Design ID

Submitted Tests

DIME Test IDTest MethodTester NameTesting LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2020-06-08-26-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesMatthew HornTrinity Engineering Laboratories, Inc. - Fresno06/05/2020Christen Guilmette
Yes
06/17/2020