Sample Record for 2024-09-05-43
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 994242 DEA: 042J7404 EFIS: 0415000010
QA Service Level: 1
DIST-CO-RTE-PM: 04-SM-101-0.9/23.4
Work Description: REMOVE BRIDGES (PORTIONS), BRIDGE BARRIERS, CONCRETE BARRIERS, & HMA.
Location Description: SAN MATEO COUNTY AT VARIOUS LOCATIONS FROM UNIVERSITY AVENUE OVERCROSSING TO SIERRA POINT OFF RAMP OVERCROSSING
Contractor Name: Graniterock (Matt Christie)
Contractor Address: 5225 Hellyer Avenue, Suite #220, San Jose, CA 95138
Resident Engineer: Peter Lam Structure Rep.: Tyler Pinell
Sample Information
DIME Sample ID: 2024-09-05-43
TL Number from the TL Form:
Sample Submitted By Organization: CT SC - 3674 - Pacifica 2
Sample Organization Contact: (510) 714-7639
Type of Sample: Quality Control
Type of Material: Concrete
Sample Taken Date: 09/05/2024
Date that the sample was received by the laboratory/organization performing the testing:
The quantity of what the sample constitutes: 3
A brief description of the sample: mix code 57S590
From where was the sample collected: Job Site
Laboratory sample identification:
Structure unique identifier: 35-0126
Structure name: Borel Creek
The fabricator/manufacturer/facility name: Graniterock Redwood City Plant
Material Information
The concrete mix design number: 57S590
The truck number from where the sample was collected: 2411
The batch plant ticket number from where the sample was collected: 38046
Concrete batch plant: Graniterock
The fabricator/manufacturer designation for the sample:
A detailed description of where the material sample was collected: Concrete from wheelbarrow
Where the material sample would have been placed if not sampled: conctete barrier
From Lot No.:
Bag Lot No.:
Test Results
