Sample Record
Owner Lab
- CT D06 - Bakersfield Field Laboratory
DIME Sample ID 2023-05-16-2
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 215180 DEA: 060Q9204 EFIS: 0614000010 COOP: 061764 |
|---|---|
| DIST-CO-RTE-PM | 06-KER-99-10.4/21.2 |
| Award Date | 12/08/2020 |
| Closeout Date | Not set |
| Work Description | CONSTRUCT CRCP AND HMA (TYPE A) PAVEMENT. |
| Location Description | KERN COUNTY IN AND NEAR BAKERSFIELD FROM 0.4 MILE SOUTH OF OLD US 99 OVERCROSSING TO 0.1 MILE NORTH OF WHITE LANE OVERCROSSING |
| QA Service Level | 1 (Verified on 09/14/2020) |
Sample Information
| Sample Taken Date | 05/16/2023 | Sample Unique Key | 2 |
|---|---|---|---|
| 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 | 05/16/2023 |
| Sample type | Department Acceptance | A brief description of the sample | CRCP Aggregates |
| The quantity of what the sample constitutes | 2 bags of aggregate 1 bag sand | From where was the sample collected | Source |
| First name of sampler or witnessed by | James | Last name of sampler or witnessed by | Watson |
| Title of sampler | Telephone number of sampler | 6615498281 | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Hwy 223 off ramp sb 99 | Transportation Laboratory (TL) Number | |
| 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) | 91-15-0068 |
|---|---|---|---|
| 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 | Conveyor Belt | |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 1 inch | |
| The concrete mix design number | G3-21-PCC-263 | Lot number | |
| Sublot number | 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. | |||