Sample Record
Owner Lab
- CT D09 - Bishop Field Laboratory
DIME Sample ID 2023-07-12-1
Project Information
Project Identifiers | Project ID: 214135 DEA: 09213404 EFIS: 0900000030 |
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DIST-CO-RTE-PM | 09-INY-395-29.9/41.8 |
Award Date | 10/22/2021 |
Closeout Date | Not set |
Work Description | ROADWAY EXCAVATION, PLACE HMA (TYPE A), AND ALTERNATIVE PIPE CULVERT. |
Location Description | INYO COUNTY NEAR OLANCHA AND CARTAGO FROM 1.4 MILES SOUTH OF LOS ANGELES AQUEDUCT BRIDGE TO 0.2 MILE SOUTH OF ASH CREEK BRIDGE |
QA Service Level | 1 (Verified on 05/03/2019) |
Sample Information
Sample Taken Date | 07/12/2023 | 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 | 07/12/2023 |
Sample type | Quality Assurance | A brief description of the sample | 1x4 concrete aggregates |
The quantity of what the sample constitutes | 7 YDS | From where was the sample collected | Supplier |
First name of sampler or witnessed by | Jerid | Last name of sampler or witnessed by | Kupelian |
Title of sampler | Telephone number of sampler | ||
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | 711 ridgecrest | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name |
Material Information
Material Type | Concrete | The concrete mix design number | 750216A6 |
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The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | Concrete Plant | |
Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
A detailed description of where the material sample was collected | DS 1343 1B at wing, head walls on SL outlet | Where the material sample would have been placed if not sampled | |
From Lot No. | Bag Lot No. |
Submitted Tests
DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
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No results found. |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |