Sample Record
Owner Lab
- CT D06 - Millbrook Field Laboratory
DIME Sample ID 2024-04-03-24
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Project Information
| Project Identifiers | Project ID: 995007 DEA: 061E7204 EFIS: 0622000092 |
|---|---|
| DIST-CO-RTE-PM | 06-FRE-41-R27.0/R28.0 |
| Award Date | 11/15/2023 |
| Closeout Date | Not set |
| Work Description | WROUGHT IRON FENCE AND CONSTRUCT SOUND WALL. |
| Location Description | FRESNO COUNTY IN FRESNO AT VARIOUS LOCATIONS FROM DAKOTA AVENUE OVERCROSSING TO GETTYSBURG AVENUE OVERCROSSING |
| QA Service Level | 1 (Verified on 07/27/2023) |
Sample Information
| Sample Taken Date | 04/03/2024 | Sample Unique Key | 24 |
|---|---|---|---|
| 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 | 04/04/2024 |
| Sample type | Department Acceptance | A brief description of the sample | Class 1 1”/PG |
| The quantity of what the sample constitutes | 285 CY | 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 | ||
| The fabricator/manufacturer/facility name | CALPORTLAND | 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 | 172457 |
|---|---|---|---|
| The truck number from where the sample was collected | 3123 | The batch plant ticket number from where the sample was collected | 1355814 |
| Concrete batch plant | CALPORTLAND | The fabricator/manufacturer designation for the sample | Mix |
| A detailed description of where the material sample was collected | Concrete from wheelbarrow | Where the material sample would have been placed if not sampled | Soundwall footing |
| 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: 2024-04-03-24-1 CTM 521-June 2020 (Verified)
DIME Test ID: 2024-04-03-24-2 CTM 521-June 2020 (Verified)
DIME Test ID: 2024-04-03-24-3 CTM 521-June 2020 (Verified)