Sample Record
Owner Lab
- CT D09 - Bishop Field Laboratory
DIME Sample ID 2023-04-03-60
Sample Details QR Code
Scan this code to open this Sample Details view on another device.
Project Information
| Project Identifiers | Project ID: 994401 DEA: 09379304 EFIS: 0919000007 |
|---|---|
| DIST-CO-RTE-PM | 09-INY-127-21.0/34.5,41.8/49.4 |
| Award Date | 01/23/2023 |
| Closeout Date | 12/27/2023 |
| Work Description | PARTIAL DEPTH RECYCLE AND HOT MIX ASPHALT (TYPE A). |
| Location Description | INYO COUNTY NEAR SHOSHONE FROM 4.6 MILES NORTH OF ROUTE 178 WEST TO 7.6 MILES SOUTH OF ROUTE 190 AND FROM 0.3 MILE SOUTH OF ROUTE 190 TO NEVADA STATE LINE |
| QA Service Level | 1 (Verified on 08/02/2023) |
Sample Information
| Sample Taken Date | 04/03/2023 | Sample Unique Key | 60 |
|---|---|---|---|
| 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 | 04/03/2023 |
| Sample type | Verification | A brief description of the sample | 3/4" Type A Aggregates |
| The quantity of what the sample constitutes | 2 Bags of Coldfedd & 1 Bag of RAP | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Josh | Last name of sampler or witnessed by | Hubartt |
| Title of sampler | TET | Telephone number of sampler | 7609373217 |
| Laboratory sample identification | JMF-01 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Wulfenstein Construction | 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) | 99-99-9999 |
|---|---|---|---|
| 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 | Sample Device at Wulfenstein Plant | |
| 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 | ||
| 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. | |||