Sample Record

Owner Lab

  • CT D09 - Bishop Field Laboratory

DIME Sample ID 2023-01-06-34

Project Information

Project IdentifiersProject ID: 214135
DEA: 09213404
EFIS: 0900000030
DIST-CO-RTE-PM09-INY-395-29.9/41.8
Award Date10/22/2021
Closeout DateNot set
Work DescriptionROADWAY EXCAVATION, PLACE HMA (TYPE A), AND ALTERNATIVE PIPE CULVERT.
Location DescriptionINYO 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 Level1 (Verified on 05/03/2019)

Sample Information

Sample Taken Date01/06/2023 Sample Unique Key34
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 testing01/13/2023
Sample typeDepartment Acceptance A brief description of the samplePCC cylinders
The quantity of what the sample constitutes15 CY From where was the sample collectedJob Site
First name of sampler or witnessed byDerek Last name of sampler or witnessed byArmon
Title of samplerStructures Rep Telephone number of sampler
Laboratory sample identification2897 Linked DIME Sample ID
The fabricator/manufacturer/facility name7/11 Materials, Ridgecrest Transportation Laboratory (TL) Number09
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeConcrete The concrete mix design number01-01-2023
The truck number from where the sample was collected The batch plant ticket number from where the sample was collected9999
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedSample taken from the chute 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
2023-01-06-34-1CTM 521-June 2012: Method of Test for Compressive Strength of Molded Concrete CylindersDerek Carrington, CT D09 - Bishop Field Laboratory02/03/2023Derek Carrington
Yes
02/13/2023

Sample File Attachments

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Test File Attachments


DIME Test ID: 2023-01-06-34-1 CTM 521-June 2012 (Verified)