Sample Record

Owner Labs

  • BSK Associates
  • CT D04 - Hayward DME / District Laboratory

DIME Sample ID 2025-09-25-75

Project Information

Project IdentifiersProject ID: 209109
DEA: 043G9004
EFIS: 0412000557
COOP: 042513
DIST-CO-RTE-PM04-SON-116,121-46.0/46.7,5.8/R7.4
Award Date07/31/2023
Closeout DateNot set
Work DescriptionMODIFY EXISTING STATE ROUTE 116,121 BONNEAU ROAD INTERSECTION FROM A 4 WAY STOP CONTROLLED INTERSECTION TO A ROUNDABOUT AND SIGNALIZED INTERSECTION.
Location DescriptionSONOMA COUNTY
QA Service Level1 (Verified on 08/15/2022)

Sample Information

Sample Taken Date09/25/2025 Sample Unique Key75
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 testing10/03/2025
Sample typeProduction Start-Up A brief description of the sample3/4" RHMA-G
The quantity of what the sample constitutes2 Bag Combined Agg. From where was the sample collectedManufacturer
First name of sampler or witnessed byCody Last name of sampler or witnessed byC
Title of sampler Telephone number of sampler
Laboratory sample identificationD04-SE-25-067 Linked DIME Sample ID2025-09-25-76
The fabricator/manufacturer/facility nameVulcan Materials LH (DP) Transportation Laboratory (TL) NumberC100602
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name Bid ItemNot set

Material Information

Material TypeAggregate 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 collectedAt the plant
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size3/4 inch
The concrete mix design number Lot number1
Sublot number1 Aggregate Mix Number226120D

Submitted Tests

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