Sample Record for 2024-10-16-34
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 215677 DEA: 044G0804 EFIS: 0412000332 COOP: 042676
QA Service Level: 1
DIST-CO-RTE-PM: 04-SOL-80-R10.4/30.2
Work Description: Highway widening, overhead signs, and electronic toll system.
Location Description: In Solano County in Fairfield and Vacaville from 1.0 mile west of Red Top Road Undercrossing to 0.4 mile east of Leisure Town Road Overcrossing.
Contractor Name: O.C. JONES & SONS, INC.
Contractor Address: 1520 Fourth Street, Berkeley, CA 94710
Resident Engineer: Justen Tatum Structure Rep.: Kelsey Littell
Sample Information
DIME Sample ID: 2024-10-16-34
TL Number from the TL Form:
Sample Submitted By Organization: CT D04 - Concord Field Laboratory
Sample Organization Contact: (510) 714-7019
Type of Sample: Quality Assurance
Type of Material: Aggregate
Sample Taken Date: 10/16/2024
Date that the sample was received by the laboratory/organization performing the testing: 10/17/2024
The quantity of what the sample constitutes: 3 Bags of 1/2"RHMA-O Batch plant
A brief description of the sample: 1/2"RHMA-O
From where was the sample collected: Supplier
Laboratory sample identification: Con_24_839
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Teichert Woodland batch Plant
Material Information
Source Identification (SMARA, name of Pit or Job Site): 91-57-0006
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 collected: Sampled from belt stream @ plant
Where the material sample would have been placed if not sampled:
Primary Aggregate Nominal Size: 1/2 inch
The concrete mix design number:
Lot number: 3
Sublot number: 6
Aggregate Mix Number: 30640542608P
Test Results
