Sample Record
Owner Lab
- CT D06 - Millbrook Field Laboratory
DIME Sample ID 2024-08-01-45
Sample is locked from editing. info
Project Information
Project Identifiers | Project ID: 1000114 DEA: 060W8204 EFIS: 0617000304 |
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DIST-CO-RTE-PM | 06-KIN-41-28.4/R40.1 |
Award Date | 05/22/2024 |
Closeout Date | Not set |
Work Description | COLD PLANE WITH HOT MIX ASPHALT (TYPE A) AND RHMA-G. |
Location Description | KINGS COUNTY AT AND NEAR STRATFORD FROM NEVADA AVENUE TO ROUTE 41/198 SEPARATION |
QA Service Level | 1 (Verified on 02/26/2024) |
Sample Information
Sample Taken Date | 08/01/2024 | Sample Unique Key | 45 |
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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 | 08/01/2024 |
Sample type | Acceptance | A brief description of the sample | PPC Cylinders |
The quantity of what the sample constitutes | 300 | From where was the sample collected | Job Site |
First name of sampler or witnessed by | paulina | Last name of sampler or witnessed by | flores |
Title of sampler | Assistant Structure Representative | Telephone number of sampler | 5599398504 |
Laboratory sample identification | Linked DIME Sample ID | ||
The fabricator/manufacturer/facility name | Outback Materials | Transportation Laboratory (TL) Number | |
Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
Structure name | HWY 41/198 |
Material Information
Material Type | Concrete | The concrete mix design number | 72T1G36 |
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The truck number from where the sample was collected | 1 | The batch plant ticket number from where the sample was collected | 165231 |
Concrete batch plant | Outback Materials | The fabricator/manufacturer designation for the sample | |
A detailed description of where the material sample was collected | Concrete from wheelbarrow | Where the material sample would have been placed if not sampled | NB East Departure barrier |
From Lot No. | Bag Lot No. |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2024-08-01-45-1 CTM 521-June 2020 (Verified)
DIME Test ID: 2024-08-01-45-2 CTM 521-June 2020 (Verified)
DIME Test ID: 2024-08-01-45-3 CTM 521-June 2020 (Verified)
DIME Test ID: 2024-08-01-45-4 CTM 521-June 2020 (Verified)