Sample Record
Owner Lab
- CT D06 - Millbrook Field Laboratory
DIME Sample ID 2024-01-10-28
Project Information
Project Identifiers | Project ID: 995004 DEA: 060U0004 EFIS: 0615000296 |
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DIST-CO-RTE-PM | 06-FRE,KER-33,58-70.6/76.0,27.8 |
Award Date | 09/13/2023 |
Closeout Date | Not set |
Work Description | BRIDGE PREVENTIVE MAINTENANCE. |
Location Description | FRESNO AND KERN COUNTIES IN FIREBAUGH ON ROUTE 33 FROM POSO CANAL BRIDGE TO COLONY MAIN CANAL BRIDGE AND NEAR MCKITTRICK ON ROUTE 58 AT MAIN DRAIN CANAL BRIDGE |
QA Service Level | 1 (Verified on 07/27/2023) |
Sample Information
Sample Taken Date | 01/10/2024 | Sample Unique Key | 28 |
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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 | 01/11/2024 |
Sample type | Department Acceptance | A brief description of the sample | High Early Strength Mix |
The quantity of what the sample constitutes | 5cy | From where was the sample collected | Job Site |
First name of sampler or witnessed by | Gerzon | Last name of sampler or witnessed by | Ceja |
Title of sampler | ASR | Telephone number of sampler | 5599172487 |
Laboratory sample identification | Linked DIME Sample ID | 2024-01-08-34 | |
The fabricator/manufacturer/facility name | Outback Materials | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | 50-0013 | |
Structure name | Main Drain Canal |
Material Information
Material Type | Concrete | The concrete mix design number | 85T3G49 |
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The truck number from where the sample was collected | 110 | The batch plant ticket number from where the sample was collected | 152585 |
Concrete batch plant | Outback Materials | The fabricator/manufacturer designation for the sample | Mix |
A detailed description of where the material sample was collected | wheelbarrow | Where the material sample would have been placed if not sampled | Columns |
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. |