Sample Record
Owner Lab
- CT D06 - Millbrook Field Laboratory
DIME Sample ID 2024-02-12-33
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Project Information
| Project Identifiers | Project ID: 993662 DEA: 061A6404 EFIS: 0620000176 |
|---|---|
| DIST-CO-RTE-PM | 06-FRE-41,180-R23.1,R58.7 |
| Award Date | 05/20/2022 |
| Closeout Date | 04/24/2024 |
| Work Description | PLACE POLYESTER CONCRETE OVERLAY AND REPLACE JOINT SEAL ASSEMBLY. |
| Location Description | FRESNO COUNTY IN FRESNO ON ROUTE 41 AT VENTURA AVENUE VIADUCT AND ON ROUTE 180 AT ROUTE 180/41 CONNECTOR SEPARATION |
| QA Service Level | 1 (Verified on 04/04/2022) |
Sample Information
| Sample Taken Date | 02/12/2024 | Sample Unique Key | 33 |
|---|---|---|---|
| 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 | 02/13/2024 |
| Sample type | Department Acceptance | A brief description of the sample | 4x8 concrete cylinders |
| The quantity of what the sample constitutes | 6 4x8 Cylinders | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Juan | Last name of sampler or witnessed by | De La Torre |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | ? | 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 | median rail | 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: 2024-02-12-33-1 CTM 521-June 2020 (Verified)
DIME Test ID: 2024-02-12-33-2 CTM 521-June 2020 (Verified)