Sample Record
Owner Lab
- CT D06 - Millbrook Field Laboratory
DIME Sample ID 2024-09-03-22
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Project Information
| Project Identifiers | Project ID: 1000063 DEA: 061F8804 EFIS: 0623000106 |
|---|---|
| DIST-CO-RTE-PM | 06-KIN-41-R39.9/R48.3 |
| Award Date | 04/03/2024 |
| Closeout Date | Not set |
| Work Description | COLD PLANE, HMA PAVING, AND INDIVIDUAL CONCRETE SLAB REPLACEMENT. |
| Location Description | KINGS COUNTY AT AND NEAR LEMOORE FROM ROUTE 41/198 SEPARATION TO FRESNO COUNTY LINE |
| QA Service Level | 1 (Verified on 01/29/2024) |
Sample Information
| Sample Taken Date | 09/03/2024 | Sample Unique Key | 22 |
|---|---|---|---|
| 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 | 08/29/2024 |
| Sample type | Acceptance | A brief description of the sample | 3 RSC beams |
| The quantity of what the sample constitutes | 0-130 Cy | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Jose | Last name of sampler or witnessed by | Lopez |
| Title of sampler | TET | Telephone number of sampler | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | AGEE / Vanguard | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Concrete | The concrete mix design number | HE4X4BM |
|---|---|---|---|
| The truck number from where the sample was collected | 103 | The batch plant ticket number from where the sample was collected | 1 |
| Concrete batch plant | Vanguard Construction onsite plant | The fabricator/manufacturer designation for the sample | |
| A detailed description of where the material sample was collected | LD # 4, SB panel # 32 | Where the material sample would have been placed if not sampled | |
| From Lot No. | Bag Lot No. |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2024-09-03-22-1 CTM 524-March 2013 (Verified)