Sample Record
Owner Lab
- CT D06 - Visalia Field Laboratory
DIME Sample ID 2023-03-24-23
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 993301 DEA: 060U2804 EFIS: 0615000293 |
|---|---|
| DIST-CO-RTE-PM | 06-TUL-245-1.4,4.2 |
| Award Date | 01/03/2022 |
| Closeout Date | Not set |
| Work Description | PRECAST PRESTRESSED CONCRETE BOX GIRDER AND SLAB, BRIDGE REMOVAL. |
| Location Description | TULARE COUNTY NEAR WOODLAKE AT YOKOHL CREEK BRIDGE AND AT KAWEAH RIVER BRIDGE |
| QA Service Level | 1 (Verified on 10/11/2021) |
Sample Information
| Sample Taken Date | 03/24/2023 | Sample Unique Key | 23 |
|---|---|---|---|
| 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 | 03/24/2023 |
| Sample type | Quality Assurance | A brief description of the sample | 3/4" HMA |
| The quantity of what the sample constitutes | 147 tons | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Jason | Last name of sampler or witnessed by | Ruiz |
| Title of sampler | Consultant Tester | Telephone number of sampler | 5592890420 |
| Laboratory sample identification | Linked DIME Sample ID | 2023-03-24-19 | |
| The fabricator/manufacturer/facility name | MCM Construction | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Tul 245 Kaweah- Yokohl Bridges Wood Land |
Material Information
| Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | Unknown |
|---|---|---|---|
| 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 | Cored from in-place HMA on the 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 | 1 | |
| Sublot number | 3 | Aggregate Mix Number |
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. | |||