Sample Record

Owner Lab

  • CT D06 - Bakersfield Field Laboratory

DIME Sample ID 2023-01-12-9

Project Information

Project IdentifiersProject ID: 993386
DEA: 060R1904
EFIS: 0614000057
COOP: 061783
DIST-CO-RTE-PM06-KER-184,223-L0.0/L0.3,R15.7/R16.3
Award Date01/25/2022
Closeout Date04/08/2024
Work DescriptionCONSTRUCT ROUNDABOUT, CURB RAMPS, AND LIGHTING SYSTEMS.
Location DescriptionKERN COUNTY NEAR ARVIN ON ROUTE 184 FROM ROUTE 223 TO 0.3 MILE NORTH OF ROUTE 223 AND ON ROUTE 223 FROM 0.3 MILE WEST OF ROUTE 184 TO 0.3 MILE EAST OF ROUTE 184
QA Service Level1 (Verified on 11/15/2021)

Sample Information

Sample Taken Date01/12/2023 Sample Unique Key9
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 testing01/12/2023
Sample typeQuality Assurance A brief description of the sampleJPCP concrete
The quantity of what the sample constitutes.1 cy in a wheelbarrow From where was the sample collectedJob Site
First name of sampler or witnessed byNeale Last name of sampler or witnessed byBown
Title of samplerTester Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameGolden Empire - Bakersfield 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 numberND15518C
The truck number from where the sample was collectedLOAD 4 The batch plant ticket number from where the sample was collected207289456
Concrete batch plantGolden Empire Bakersfield The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedback of the truck Where the material sample would have been placed if not sampled
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2023-01-12-9-1CTM 557-June 2020: Method of Test for Temperature of Freshly Mixed Hydraulic Cement ConcreteNeale Brown, CT D06 - Bakersfield Field Laboratory01/12/2023Kulwinder Rai
Yes
01/13/2023

Sample File Attachments

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Test File Attachments


DIME Test ID: 2023-01-12-9-1 CTM 557-June 2020 (Verified)