Sample Record

Owner Lab

  • CT D06 - Millbrook Field Laboratory

DIME Sample ID 2024-07-11-40

Project Information

Project IdentifiersProject ID: 1000063
DEA: 061F8804
EFIS: 0623000106
DIST-CO-RTE-PM06-KIN-41-R39.9/R48.3
Award Date04/03/2024
Closeout DateNot set
Work DescriptionCOLD PLANE, HMA PAVING, AND INDIVIDUAL CONCRETE SLAB REPLACEMENT.
Location DescriptionKINGS COUNTY AT AND NEAR LEMOORE FROM ROUTE 41/198 SEPARATION TO FRESNO COUNTY LINE
QA Service Level1 (Verified on 01/29/2024)

Sample Information

Sample Taken Date07/11/2024 Sample Unique Key40
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 testing07/11/2024
Sample typeAcceptance A brief description of the sample3/4 HMA CF
The quantity of what the sample constitutes240 TONS From where was the sample collectedManufacturer
First name of sampler or witnessed byJonathon Last name of sampler or witnessed byChaney
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameSierra Pacific - Avenal 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)91-10-0006
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 collectedColdfeed Chute
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size3/4 inch
The concrete mix design number Lot number1
Sublot number12 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