Sample Record
Owner Lab
- CT D06 - Millbrook Field Laboratory
DIME Sample ID 2024-01-24-7
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Project Information
| Project Identifiers | Project ID: 995004 DEA: 060U0004 EFIS: 0615000296 |
|---|---|
| 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 | 01/24/2024 | Sample Unique Key | 7 |
|---|---|---|---|
| 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 | 01/24/2024 |
| Sample type | Department Acceptance | A brief description of the sample | Con Aggs - 1 Bag of 3/8" / 1 Bag of Sand |
| The quantity of what the sample constitutes | 0-3 CY | From where was the sample collected | Fabricator |
| 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 | Outback Materials | 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) | 91-10-0005 |
|---|---|---|---|
| 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 | Stockpile @ Plant | |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 3/8 inch | |
| The concrete mix design number | 85T3G49 | 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: 2024-01-24-7-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2024-01-24-7-2 CTM 202-November 2011 (Verified)
DIME Test ID: 2024-01-24-7-3 CTM 217-June 2011 (Verified)
DIME Test ID: 2024-01-24-7-4 CTM 227-December 2014 (Verified)