Sample Record
Owner Lab
- CT D09 - Bishop Field Laboratory
DIME Sample ID 2023-02-01-19
Project Information
Project Identifiers | Project ID: 214135 DEA: 09213404 EFIS: 0900000030 |
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DIST-CO-RTE-PM | 09-INY-395-29.9/41.8 |
Award Date | 10/22/2021 |
Closeout Date | Not set |
Work Description | ROADWAY EXCAVATION, PLACE HMA (TYPE A), AND ALTERNATIVE PIPE CULVERT. |
Location Description | INYO COUNTY NEAR OLANCHA AND CARTAGO FROM 1.4 MILES SOUTH OF LOS ANGELES AQUEDUCT BRIDGE TO 0.2 MILE SOUTH OF ASH CREEK BRIDGE |
QA Service Level | 1 (Verified on 05/03/2019) |
Sample Information
Sample Taken Date | 02/01/2023 | Sample Unique Key | 19 |
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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 | 02/02/2023 |
Sample type | Department Acceptance | A brief description of the sample | Class 2 Aggregate Base |
The quantity of what the sample constitutes | 10000cy | From where was the sample collected | Job Site |
First name of sampler or witnessed by | Jerid | Last name of sampler or witnessed by | Kupelian |
Title of sampler | Consultant Tester | Telephone number of sampler | |
Laboratory sample identification | 2903 | Linked DIME Sample ID | |
The fabricator/manufacturer/facility name | Fisher Sand and Gravel | Transportation Laboratory (TL) Number | 09 |
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) | 91-14-0003 |
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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 | New Roadway | |
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: 2023-02-01-19-1 AASHTO T176-08 (Verified)
DIME Test ID: 2023-02-01-19-2 AASHTO T27-14 (Verified)
DIME Test ID: 2023-02-01-19-3 CTM 301-March 2000 (Verified)