Sample Record

Owner Lab

  • CT D06 - Millbrook Field Laboratory

DIME Sample ID 2023-04-14-7

Project Information

Project IdentifiersProject ID: 993141
DEA: 060V1204
EFIS: 0616000207
DIST-CO-RTE-PM06-MAD-99-R6.9/R7.6
Award Date06/22/2022
Closeout DateNot set
Work DescriptionCottonwood Creek Bridge Replacement - REPLACE BRIDGES AND CONSTRUCT RETAINING WALLS.
Location DescriptionMADERA COUNTY NEAR MADERA FROM 0.4 MILE SOUTH OF COTTONWOOD CREEK BRIDGE TO 0.1 MILE NORTH OF AVENUE 12 OVERCROSSING
QA Service Level1 (Verified on 07/28/2021)

Sample Information

Sample Taken Date04/14/2023 Sample Unique Key7
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 testing04/14/2023
Sample typeQuality Assurance A brief description of the samplePipe Backfill
The quantity of what the sample constitutes750 Tons From where was the sample collectedJob Site
First name of sampler or witnessed byNoah Last name of sampler or witnessed byHunt
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameUnknown Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)Jobsite material
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 collectedDrainage system 8 B
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size3/4 inch
The concrete mix design number Lot number
Sublot number Aggregate Mix Number

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2023-04-14-7-1CTM 231-March 2013: Method of Test for Relative Compaction of Untreated and Treated Soils and Aggregates Using Nuclear GagesAllen Oliver, CT D06 - Millbrook Field Laboratory04/14/2023Allen Oliver
Yes
04/14/2023

Sample File Attachments

File NameExtensionDate UploadedActions
IMG_0417JPG04/14/2023   Info

Test File Attachments


DIME Test ID: 2023-04-14-7-1 CTM 231-March 2013 (Verified)