Sample Record

Owner Lab

  • CT D06 - Bakersfield Field Laboratory

DIME Sample ID 2024-09-04-21

Project Information

Project IdentifiersProject ID: 1000010
DEA: 061F8904
EFIS: 0623000107
DIST-CO-RTE-PM06-TUL-63-4.0/5.5
Award Date03/20/2024
Closeout DateNot set
Work DescriptionCOLD PLANE AC PAVEMENT AND PLACE HMA.
Location DescriptionTULARE COUNTY IN AND NEAR VISALIA FROM AVENUE 264 TO VISALIA PARKWAY
QA Service Level1 (Verified on 01/08/2024)

Sample Information

Sample Taken Date09/04/2024 Sample Unique Key21
Will the laboratory/organization for which you are a member perform testing on this material sample?No Date that the sample was received by the laboratory/organization performing the testing09/04/2024
Sample typeAcceptance A brief description of the sample1/2 RHMA-G
The quantity of what the sample constitutesL2SL1--PSE from DCA From where was the sample collectedSource
First name of sampler or witnessed byT Last name of sampler or witnessed byHall
Title of samplerMaterials Tester Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameJaxon Baker/Deer Creek 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)91-54-0021
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
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size1/2 inch
The concrete mix design number Lot number2
Sublot number1 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