Sample Record for 2025-08-18-105
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 1000776 DEA: 044G7804 EFIS: 0413000178
QA Service Level: 1
DIST-CO-RTE-PM: 04-SON-1-0.0/58.6
Work Description: CENTERLINE RUMBLE STRIP,SHOULDER WIDENING, AND THERMOPLASTIC STRIPING.
Location Description: SONOMA COUNTY AT VARIOUS LOCATIONS FROM MARIN COUNTY LINE TO MENDOCINO COUNTY LINE
Contractor Name: O.C. JONES & SONS, INC.
Contractor Address: Unknown
Resident Engineer: Harley Paulo Structure Rep.: Unknown
Sample Information
DIME Sample ID: 2025-08-18-105
TL Number from the TL Form:
Sample Submitted By Organization: CT D04 - Petaluma Field Laboratory
Sample Organization Contact: (510) 385-6841
Type of Sample: Acceptance
Type of Material: Aggregate
Sample Taken Date: 08/18/2025
Date that the sample was received by the laboratory/organization performing the testing: 08/18/2025
The quantity of what the sample constitutes: 750 Tons
A brief description of the sample: 3/4 HMA
From where was the sample collected: Manufacturer
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Vulcan Lake TRb
Material Information
Source Identification (SMARA, name of Pit or Job Site): 91-49-0004
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: Hot Bins
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:
Sublot number:
Aggregate Mix Number:
Test Results
