Sample Record for 2023-12-13-34
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 214590 DEA: 043G4744 EFIS: 0412000074
QA Service Level: 1
DIST-CO-RTE-PM: 04-MRN,MRN-580-6.9/7.8,0.0/2.5
Work Description: CLEAN AND PAINT STRUCTURAL STEEL BRIDGE.
Location Description: CONTRA COSTA AND MARIN COUNTIES IN RICHMOND AND SAN RAFAEL FROM 0.8 MILE WEST OF TOLL PLAZA TO 0.1 MILE EAST OF MAIN STREET
Contractor Name: Allied Painting, INC.
Contractor Address: 4 Larwin Road, Cherry Hill, NJ08034
Resident Engineer: Behzad Halali Structure Rep.: William Sommer
Sample Information
DIME Sample ID: 2023-12-13-34
TL Number from the TL Form:
Sample Submitted By Organization: CT SC - 3672 - Richmond
Sample Organization Contact: (510) 231-7108
Type of Sample: Quality Assurance
Type of Material: Aggregate
Sample Taken Date: 12/13/2023
Date that the sample was received by the laboratory/organization performing the testing: 12/20/2023
The quantity of what the sample constitutes: 60 CY
A brief description of the sample: Bags of 1/2" Aggregate
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier: 28-0100
Structure name: Richmond-San Rafael Bridge
The fabricator/manufacturer/facility name: American Civil Constructors
Material Information
Source Identification (SMARA, name of Pit or Job Site): Job Site.
The fabricator's/manufacturer's product name for the sample: CTS - 1/2"x #4 Hallwood
The fabricator/manufacturer designation for the sample:
The plant number:
A detailed description of where the material sample was collected: Stockpile
Where the material sample would have been placed if not sampled: Expansion joints 54-57
Primary Aggregate Nominal Size: 1/2 inch
The concrete mix design number: 21-005-12
Lot number:
Sublot number:
Aggregate Mix Number:
Test Results
Tests Assigned to this Sample
| DIME Test ID | Test Method | Assigned Date | Test Date | Assigned By | Assigned Lab | Test Comments | Assigned To |
| 2023-12-13-34-1 | ASTM C136-19: Standard Test Method for Sieve Analysis of Fine and Coarse Aggregates | 12/20/2023 | Not scheduled | Luna Cornejo Molina | CT D04 - Richmond Field Laboratory | Same as for the fine agg test - I think we're bringing this to you but I'll update this to HQ if needed! :) | |
94210
