Sample Record

Owner Lab

  • CT D04 - Petaluma Field Laboratory

DIME Sample ID 2024-10-17-75

Sample is locked from editing. info

Project Information

Project IdentifiersProject ID: 993424
DEA: 04281204
EFIS: 0400000769
DIST-CO-RTE-PM04-NAP-29,221-5.5/6.7,0.0/0.2
Award Date03/21/2022
Closeout DateNot set
Work DescriptionHMA, RDWY EXCAVATION, STRUCTURAL CONC AND MODIFYING LIGHTING SYSTEMS.
Location DescriptionNAPA COUNTY NEAR NAPA ON ROUTE 29 FROM 0.7 MILE SOUTH TO 0.5 MILE NORTH OF ROUTE 221 AND ON ROUTE 221 FROM 0.2 MILE NORTH OF ROUTE 29 TO ROUTE 29
QA Service Level1 (Verified on 12/08/2021)

Sample Information

Sample Taken Date10/17/2024 Sample Unique Key75
Will the laboratory/organization for which you are a member perform testing on this material sample?Yes Date that the sample was received by the laboratory/organization performing the testing10/18/2024
Sample typeQuality Assurance A brief description of the sample1/2 RHMA-G
The quantity of what the sample constitutes1 BAG PER BIN From where was the sample collectedManufacturer
First name of sampler or witnessed byAnthony Last name of sampler or witnessed byValdez
Title of sampler Telephone number of sampler
Laboratory sample identificationPET-24-557 Linked DIME Sample ID
The fabricator/manufacturer/facility nameBoDean Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)91-49-0032
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 collectedHot Bins
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 number9 Aggregate Mix Number

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2024-10-17-75-1AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)Anthony Valdez, CT D04 - Petaluma Field Laboratory10/18/2024Anthony Valdez
Yes
11/20/2024
2024-10-17-75-2AASHTO T176-08: Standard Method of Test for Plastic Fines in Graded Aggregates and Soils by Use of the Sand Equivalent Test (Sand Equivalent)Anthony Valdez, CT D04 - Petaluma Field Laboratory10/18/2024Anthony Valdez
Yes
11/20/2024

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2024-10-17-75-1 AASHTO T27-14 (Verified)
DIME Test ID: 2024-10-17-75-2 AASHTO T176-08 (Verified)