Sample Record

Owner Labs

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

DIME Sample ID 2025-10-08-84

Project Information

Project IdentifiersProject ID: 1001222
DEA: 042Y5204
EFIS: 0423000124
DIST-CO-RTE-PM04-SM-84-R27.7/R29.2
Award Date06/16/2025
Closeout DateNot set
Work DescriptionCOLD PLANE AC PAVEMENT AND OVERLAY WITH RHMA.
Location DescriptionSAN MATEO COUNTY IN MENLO PARK ON ROUTE 84 FROM ROUTE 114 TO DUMBARTON BRIDGE AND ON WILLOW ROAD AT ROUTE 114/101 SEPARATION
QA Service Level1 (Verified on 08/08/2025)

Sample Information

Sample Taken Date10/08/2025 Sample Unique Key84
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 testing11/07/2025
Sample typeProduction Start-Up A brief description of the sample1/2" RHMA-G
The quantity of what the sample constitutes4 bags Aggregate From where was the sample collectedManufacturer
First name of sampler or witnessed byFernando Last name of sampler or witnessed byVega
Title of sampler Telephone number of sampler
Laboratory sample identificationD04-SE-25-081 Linked DIME Sample ID2025-10-08-85
The fabricator/manufacturer/facility nameMartin Marietta-Sunol Plant Transportation Laboratory (TL) NumberSJ-100825-1
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)91-01-0011, 91-07-0003
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 collectedConveyer Belt-HMA Plant
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size1/2 inch
The concrete mix design number Lot number1
Sublot number1 Aggregate Mix Number64S4BV 25W4C 8396

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