Sample Record
Owner Lab
- CT D06 - Millbrook Field Laboratory
DIME Sample ID 2023-06-19-1
Project Information
Project Identifiers | Project ID: 993141 DEA: 060V1204 EFIS: 0616000207 |
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DIST-CO-RTE-PM | 06-MAD-99-R6.9/R7.6 |
Award Date | 06/22/2022 |
Closeout Date | Not set |
Work Description | Cottonwood Creek Bridge Replacement - REPLACE BRIDGES AND CONSTRUCT RETAINING WALLS. |
Location Description | MADERA COUNTY NEAR MADERA FROM 0.4 MILE SOUTH OF COTTONWOOD CREEK BRIDGE TO 0.1 MILE NORTH OF AVENUE 12 OVERCROSSING |
QA Service Level | 1 (Verified on 07/28/2021) |
Sample Information
Sample Taken Date | 06/19/2023 | Sample Unique Key | 1 |
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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 | 06/15/2023 |
Sample type | Verification | A brief description of the sample | structural concrete |
The quantity of what the sample constitutes | 300 CYS | From where was the sample collected | Job Site |
First name of sampler or witnessed by | ye | Last name of sampler or witnessed by | Yang |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Unknown | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name | Cotton wood Mainline |
Material Information
Material Type | Concrete | The concrete mix design number | ND22023 |
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The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 1113230J7 | |
Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
A detailed description of where the material sample was collected | Discharge from concrete truck into wheelbarrow | Where the material sample would have been placed if not sampled | Abut 4 footing |
From Lot No. | Bag Lot No. |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2023-06-19-1-1 ASTM C39-18 (Verified)