Sample Record
Owner Lab
- CT D06 - Visalia Field Laboratory
DIME Sample ID 2023-09-05-75
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Project Information
| Project Identifiers | Project ID: 215425 DEA: 06360244 EFIS: 0613000005 |
|---|---|
| DIST-CO-RTE-PM | 06-TUL-99-30.6/35.2 |
| Award Date | 04/23/2021 |
| Closeout Date | Not set |
| Work Description | Widen Freeway & Bridge Construction (Concrete Bridge) |
| Location Description | Not set |
| QA Service Level | 1 (Verified on 11/01/2021) |
Sample Information
| Sample Taken Date | 09/05/2023 | Sample Unique Key | 75 |
|---|---|---|---|
| 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 | 09/05/2023 |
| Sample type | Acceptance | A brief description of the sample | Class 2 Aggregate Base |
| The quantity of what the sample constitutes | 0-500 Ton | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Doug | Last name of sampler or witnessed by | Ruff |
| Title of sampler | Consultant Tester | Telephone number of sampler | 5594670032 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Crushed recycled on site | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | NB Tul 99 Median J St , Windrow, J St realignment |
Material Information
| Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | 0613000005 |
|---|---|---|---|
| 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 | On Job site -Windrow | |
| 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
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2023-09-05-75-1 CTM 202-November 2011 (Verified)
| File Name | Extension | Date Uploaded | Test ID | Actions |
|---|---|---|---|---|
| 06-360244_37042_230905_SA_36- J St -99 Medn | 11/09/2023 | 2023-09-05-75-1 | Info |
DIME Test ID: 2023-09-05-75-2 CTM 217-June 2011 (Verified)