Sample Record
Owner Lab
- CT D06 - Millbrook Field Laboratory
DIME Sample ID 2023-12-01-55
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 215420 DEA: 060R2104 EFIS: 0614000058 |
---|---|
DIST-CO-RTE-PM | 06-MAD-41-6.2/9.2 |
Award Date | 01/18/2023 |
Closeout Date | Not set |
Work Description | FOR CONSTRUCTION ON STATE HIGHWAY IN MADERA COUNTY NEAR MADERA FROM 0.1 MILE NORTH OF AVENUE 15 TO 2.2 MILES NORTH OF FRIANT MADERA CANAL BRIDGE |
Location Description | MADERA COUNTY NEAR MADERA FROM 0.1 MILE NORTH OF AVENUE 15 TO 2.2 MILES NORTH OF FRIANT MADERA CANAL BRIDGE |
QA Service Level | 1 (Verified on 01/06/2021) |
Sample Information
Sample Taken Date | 12/01/2023 | Sample Unique Key | 55 |
---|---|---|---|
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 | 12/02/2023 |
Sample type | Acceptance | A brief description of the sample | 4x8 concrete cylinders |
The quantity of what the sample constitutes | 6 cylinders | From where was the sample collected | Job Site |
First name of sampler or witnessed by | Arthur | Last name of sampler or witnessed by | Mills |
Title of sampler | Consultant | Telephone number of sampler | |
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Cal Valley Construction | 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 | ND22023 |
---|---|---|---|
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 | DS #3 | Where the material sample would have been placed if not sampled | |
From Lot No. | Bag Lot No. |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
---|---|---|---|
No results found. |
Test File Attachments
DIME Test ID: 2023-12-01-55-1 CTM 521-June 2020 (Verified)