Sample Record

Owner Lab

  • CT D06 - Millbrook Field Laboratory

DIME Sample ID 2023-04-13-29

Project Information

Project IdentifiersProject ID: 212737
DEA: 060S8304
EFIS: 0615000046
DIST-CO-RTE-PM06-FRE-5-44.4-45.4
Award Date05/27/2022
Closeout DateNot set
Work DescriptionTUMEY GULCH ABUTMENT REHAB BR# 42-0246L/R.
Location DescriptionIN FRESNO COUNTY AT TUMEY GULCH.
QA Service Level1 (Verified on 09/25/2018)

Sample Information

Sample Taken Date04/13/2023 Sample Unique Key29
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 testing04/13/2023
Sample typeDepartment Acceptance A brief description of the samplestructural concrete
The quantity of what the sample constitutes300CY From where was the sample collectedJob Site
First name of sampler or witnessed byAngelica Last name of sampler or witnessed byZarate
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 nameBarrier Rail

Material Information

Material TypeConcrete The concrete mix design numberCAS5901
The truck number from where the sample was collected The batch plant ticket number from where the sample was collected419971
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedDischarge from concrete truck into wheelbarrow. Where the material sample would have been placed if not sampledBarrier Rail L
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Test File Attachments