Sample Record

Owner Lab

  • CT D06 - Bakersfield Field Laboratory

DIME Sample ID 2024-04-12-15

Project Information

Project IdentifiersProject ID: 215425
DEA: 06360244
EFIS: 0613000005
DIST-CO-RTE-PM06-TUL-99-30.6/35.2
Award Date04/23/2021
Closeout DateNot set
Work DescriptionWiden Freeway & Bridge Construction (Concrete Bridge)
Location DescriptionNot set
QA Service Level1 (Verified on 11/01/2021)

Sample Information

Sample Taken Date04/12/2024 Sample Unique Key15
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 testing04/12/2024
Sample typeAcceptance A brief description of the sample3/4" HMA -A PG 70-10
The quantity of what the sample constitutesL7SL08 From where was the sample collectedSupplier
First name of sampler or witnessed byJason Last name of sampler or witnessed byRuiz
Title of samplerConsultant Tester Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameMartin Mariatta Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)0613000005
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 collectedConveyor Belt
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size3/4 inch
The concrete mix design number Lot number7
Sublot number8 Aggregate Mix Number

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Sample File Attachments

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Test File Attachments