Sample Record
Owner Labs
- BSK Associates
- CT D04 - Hayward DME / District Laboratory
DIME Sample ID 2025-09-11-71
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 1001221 DEA: 040X7604 EFIS: 0424000164 |
|---|---|
| DIST-CO-RTE-PM | 04-SOL-113-18.3/21.2 |
| Award Date | 06/12/2025 |
| Closeout Date | Not set |
| Work Description | COLD PLANE AC PAVEMENT, PLACE HMA AND OVERLAY WITH SLURRY SEAL. |
| Location Description | SOLANO COUNTY IN AND NEAR DIXON FROM PARKWAY BOULEVARD TO ROUTE 113/80 SEPARATION |
| QA Service Level | 1 (Verified on 04/28/2025) |
Sample Information
| Sample Taken Date | 09/11/2025 | Sample Unique Key | 71 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | No | Date that the sample was received by the laboratory/organization performing the testing | 09/30/2025 |
| Sample type | Production Start-Up | A brief description of the sample | 3/4" HMA-SP + 15% RAP |
| The quantity of what the sample constitutes | 2 Bags per bin#1-4 | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Christian | Last name of sampler or witnessed by | Sousa |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | D04-SE-25-066 | Linked DIME Sample ID | 2025-09-11-72 |
| The fabricator/manufacturer/facility name | Teichert Woodland Batch Plant | Transportation Laboratory (TL) Number | CON-091125-1 |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Bid Item | Not set |
Material Information
| Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | 91-57-0004 |
|---|---|---|---|
| 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 | At the plant | |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 3/4 inch | |
| The concrete mix design number | Lot number | ||
| Sublot number | Aggregate Mix Number | 30640432428P |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Date Added | Verified? | Release Date | Test Comments | Privacy Level | Actions |
|---|---|---|---|---|---|---|---|---|---|
| No results found. | |||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||