Sample Record for 2026-03-25-2
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 993812 DEA: 11431274 EFIS: 1121000129
QA Service Level: 1
DIST-CO-RTE-PM: 11-SD-5-R0.3/R36.0
Work Description: CMGC Project- Restore the pavement to a state of good repair through roadway rehabilitation, pavement preservation, drainage restoration, transportation management system upgrades, and American with Disabilities Act (ADA) infrastructure improvements.
Location Description: SD County
Contractor Name: Kiewit Infrastrucure
Contractor Address: West 2200 Columbia House Boulevard, Vancouver, WA 98661
Resident Engineer: Timothy Poppe Structure Rep.: Unknown
Sample Information
DIME Sample ID: 2026-03-25-2
TL Number from the TL Form:
Sample Submitted By Organization: CT D11 - District 11 Materials Laboratory
Sample Organization Contact: (858) 518-8709
Type of Sample: Quality Assurance
Type of Material: Aggregate
Sample Taken Date: 03/25/2026
Date that the sample was received by the laboratory/organization performing the testing: 03/25/2026
The quantity of what the sample constitutes: 3 bags
A brief description of the sample: Concrete Aggregates
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Robertson's Otay
Material Information
Source Identification (SMARA, name of Pit or Job Site): Not Provided
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: RRM 24094
Lot number:
Sublot number:
Aggregate Mix Number:
Test Results
