Sample Record for 2024-03-05-45
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 994803 DEA: 043J0704 EFIS: 0415000077
QA Service Level: 1
DIST-CO-RTE-PM: 04-CC-80-10.1/13.5
Work Description: Remove PCC and AC, place PCP and AC Resurfacing.
Location Description: Construction on State Highway in Contra Costa County in Hercules and Crockett from Route 80/4 separation to 0.1 mile west of Crockett Viaduct.
Contractor Name: VANGUARD CONSTRUCTION, INC.
Contractor Address: 651 ENTERPRISE CT, LIVERMORE, CA 94550
Resident Engineer: Ta Seng Structure Rep.: Unknown
Sample Information
DIME Sample ID: 2024-03-05-45
TL Number from the TL Form:
Sample Submitted By Organization: CT D04 - Richmond Field Laboratory
Sample Organization Contact: (510) 231-7151
Type of Sample: Quality Assurance
Type of Material: Aggregate
Sample Taken Date: 03/05/2024
Date that the sample was received by the laboratory/organization performing the testing: 03/05/2024
The quantity of what the sample constitutes: 2 bags
A brief description of the sample: 1INCH x No.4 PCC
From where was the sample collected: Fabricator
Laboratory sample identification: Rich_24_014
Structure unique identifier:
Structure name: Barrier
The fabricator/manufacturer/facility name: Vanguard Mobile San Pablo Plant
Material Information
Source Identification (SMARA, name of Pit or Job Site): 91-48-0002
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: Stockpile @ Plant
Where the material sample would have been placed if not sampled:
Primary Aggregate Nominal Size: 1 inch
The concrete mix design number: 590 MAC
Lot number:
Sublot number:
Aggregate Mix Number: 590 MAC
Test Results
Tests Assigned to this Sample
| DIME Test ID | Test Method | Assigned Date | Test Date | Assigned By | Assigned Lab | Test Comments | Assigned To |
| 2024-03-05-45-1 | CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse Aggregates | 03/26/2024 | Not scheduled | IGNACIO ARECHIGA | CT D04 - Richmond Field Laboratory | Vanguard Mobile Hercules Plant
PASSED | |
| 2024-03-05-45-2 | CTM 217-June 2011: Method of Test for Sand Equivalent | 03/26/2024 | Not scheduled | IGNACIO ARECHIGA | CT D04 - Richmond Field Laboratory | PASSED | |
| 2024-03-05-45-3 | CTM 226-July 2010: Method of Test for Determination of Moisture Content of Soils and Aggregates by Oven Drying | 03/26/2024 | Not scheduled | IGNACIO ARECHIGA | CT D04 - Richmond Field Laboratory | PASSED | |
| 2024-03-05-45-4 | CTM 227-December 2014: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness) | 03/26/2024 | Not scheduled | IGNACIO ARECHIGA | CT D04 - Richmond Field Laboratory | PASSED | |
99683996849968599686
