Sample Record

Owner Lab

  • CT D09 - Bishop Field Laboratory

DIME Sample ID 2024-04-18-17

Project Information

Project IdentifiersProject ID: 215771
DEA: 09367504
EFIS: 0916000032
DIST-CO-RTE-PM09--5756-NA
Award Date03/23/2023
Closeout DateNot set
Work DescriptionBuilding work, hot mix asphalt (type A)
Location DescriptionIN KERN COUNTY IN TEHACHAPI AT THE TEHACHAPI HIGHWAY MAINTENANCE STATION AT 305 INDUSTRIAL PARKWAY
QA Service Level1 (Verified on 05/13/2021)

Sample Information

Sample Taken Date04/18/2024 Sample Unique Key17
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 testing04/19/2024
Sample typeVerification A brief description of the sample3/8" Aggregate
The quantity of what the sample constitutes1 BAGS From where was the sample collectedSource
First name of sampler or witnessed byJosh Last name of sampler or witnessed byHubartt
Title of samplerTET Telephone number of sampler760 9373217
Laboratory sample identificationJMF1 RAP1 1708 Linked DIME Sample ID
The fabricator/manufacturer/facility nameSolari plant Granite Arvin 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)91-15-0114
The fabricator's/manufacturer's product name for the sampleSolari Granitebel The fabricator/manufacturer designation for the sample
The plant number A detailed description of where the material sample was collectedbelt an chute
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size3/8 inch
The concrete mix design number Lot number
Sublot number 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