Sample Record
Owner Lab
- CT D06 - Millbrook Field Laboratory
DIME Sample ID 2023-10-03-79
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Project Information
| Project Identifiers | Project ID: 215348 DEA: 060U4204 EFIS: 0616000004 |
|---|---|
| DIST-CO-RTE-PM | 06-FRE-99-R4.9/11.6 |
| Award Date | 02/25/2021 |
| Closeout Date | Not set |
| Work Description | CONSTRUCT CRCP, PLACE HMA, AND ROADWAY EXCAVATION. |
| Location Description | FRESNO COUNTY IN AND NEAR SELMA AND FOWLER FROM MCCALL AVENUE UNDERCROSSING TO 0.5 MILE NORTH OF MERCED STREET UNDERCROSSING |
| QA Service Level | 1 (Verified on 12/07/2020) |
Sample Information
| Sample Taken Date | 10/03/2023 | Sample Unique Key | 79 |
|---|---|---|---|
| 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 | 10/05/2023 |
| Sample type | Acceptance | A brief description of the sample | Aceptance |
| The quantity of what the sample constitutes | Per 1000 CY | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Noha | Last name of sampler or witnessed by | Hunt |
| Title of sampler | Consultant | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Security Paving batch plant | 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 | G3-22-PCC-291 |
|---|---|---|---|
| The truck number from where the sample was collected | The batch plant ticket number from where the sample was collected | 000 | |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | ||
| A detailed description of where the material sample was collected | Concrete from wheelbarrow | Where the material sample would have been placed if not sampled | |
| From Lot No. | Bag Lot No. |
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2023-10-03-79-1 CTM 523-May 2020 (Verified)