Sample Record for 2024-10-16-2
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 995067 DEA: 11430394 EFIS: 1118000115
QA Service Level: 1
DIST-CO-RTE-PM: 11-SD-805-23.9/25.1
Work Description: WIDEN FREEWAY, STRUCTURES, CONSTRUCT SIGNS, LANDSCAPE AND ELECTRICAL.
Location Description: SAN DIEGO COUNTY IN SAN DIEGO FROM 0.2 MILE NORTH OF ROUTE 805/52 SEPARATION TO 0.3 MILE SOUTH OF NOBEL DRIVE OVERCROSSING
Contractor Name: GRIFFITH COMPANY
Contractor Address: 13400 Sabre Spring Parkway Ste 200, San Diego, CA 92128
Resident Engineer: Tyler Jones Structure Rep.: Carlos Guzman
Sample Information
DIME Sample ID: 2024-10-16-2
TL Number from the TL Form:
Sample Submitted By Organization: METS - DEMO
Sample Organization Contact: 111-111-1111
Type of Sample: Quality Control
Type of Material: Aggregate
Sample Taken Date: 10/16/2024
Date that the sample was received by the laboratory/organization performing the testing: 10/16/2024
The quantity of what the sample constitutes: 2
A brief description of the sample: Sample 1-FK
From where was the sample collected: Source
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: D11
Material Information
Source Identification (SMARA, name of Pit or Job Site): TEST
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 collected: Plant
Where the material sample would have been placed if not sampled:
Primary Aggregate Nominal Size: 1 inch
The concrete mix design number:
Lot number:
Sublot number:
Aggregate Mix Number:
Test Results
Test 1 of 1
DIME Test ID: 2024-10-16-2-1
Test Method: AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)
Submitted By Organization: METS - DEMO
Organization Address: 5900 Folsom Boulevard,
Organization City: Sacramento
Organization State: CA
Organization Zipcode: 95819
Organization Email: clinton.edmiston@dot.ca.gov
Organization Phone: (916) 227-5383
Data has not been verified.
