Sample Record
Owner Lab
- CT D08 - Barstow Field Laboratory 1
DIME Sample ID 2023-12-01-27
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 214486 DEA: 080K1224 EFIS: 0815000244 |
|---|---|
| DIST-CO-RTE-PM | 08-SBD-15-R28.6/37.5 |
| Award Date | Not set |
| Closeout Date | Not set |
| Work Description | REHBILIATATE EXISTING MAINLINE AND RAMP PAVEMENT |
| Location Description | SAN BERNARDINO COUNTY IN HESPERIA AND VICTORVILLE FROM OAK HILL ROAD OVERCROSSING TO 0.1 MILE SOUTH OF BEAR VALLEY ROAD OVERCROSSING |
| QA Service Level | 1 (Verified on 06/23/2021) |
Sample Information
| Sample Taken Date | 12/01/2023 | Sample Unique Key | 27 |
|---|---|---|---|
| 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 | 12/01/2023 |
| Sample type | Quality Assurance | A brief description of the sample | Cold Feed 3/4" AC Aggregate |
| The quantity of what the sample constitutes | 1 bag | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | NATHAN | Last name of sampler or witnessed by | OGBASELIASIE |
| Title of sampler | te | Telephone number of sampler | |
| Laboratory sample identification | test 1 a100CY AT0849AM | Linked DIME Sample ID | 853 |
| The fabricator/manufacturer/facility name | Sully Miller | 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) | 91-33-0068 |
|---|---|---|---|
| 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 | AT THE JOBSITE | |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 1-1/2 inch | |
| The concrete mix design number | 300222 - CPC R25 | 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: 2023-12-01-27-1 AASHTO T30-19 (Verified)