Sample Record
Owner Lab
- CT D06 - Millbrook Field Laboratory
DIME Sample ID 2024-04-19-18
Project Information
Project Identifiers | Project ID: 995263 DEA: 061G3304 EFIS: 0624000029 |
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DIST-CO-RTE-PM | 06-FRE-180-118/138 |
Award Date | 08/18/2023 |
Closeout Date | Not set |
Work Description | FRE 180 Emergency Slope Repairs. |
Location Description | Not set |
QA Service Level | 1 (Verified on 10/20/2023) |
Sample Information
Sample Taken Date | 04/19/2024 | Sample Unique Key | 18 |
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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 | 04/23/2024 |
Sample type | Verification | A brief description of the sample | PCC cylinders |
The quantity of what the sample constitutes | 19 CY | From where was the sample collected | Job Site |
First name of sampler or witnessed by | Sok | Last name of sampler or witnessed by | Thun |
Title of sampler | ASR | Telephone number of sampler | (559)240 2128 |
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Outback Materials, Fresno | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | 06-1G3304, at PM 126.5 | |
Structure name | Retaining Wall |
Material Information
Material Type | Concrete | The concrete mix design number | 72T1X39 |
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The truck number from where the sample was collected | 111 | The batch plant ticket number from where the sample was collected | 158073 |
Concrete batch plant | Outback Materials | The fabricator/manufacturer designation for the sample | |
A detailed description of where the material sample was collected | Concrete Truck 111 | Where the material sample would have been placed if not sampled | Concrete barrier rail at PM 126.5 |
From Lot No. | Bag Lot No. |
Submitted Tests
DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Submitted By | Verified? | Release Date | Test Comments | Actions |
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2024-04-19-18-1 | ASTM C231-17a: Standard Test Method for Air Content of Freshly Mixed Concrete by the Pressure Method | Sok Thun, CT D06 - Millbrook Field Laboratory | 04/19/2024 | Sok Thun | No | Info |
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2024-04-19-18-1 ASTM C231-17a