Sample Record

Owner Lab

  • CT SC - 3672 - Fairfield

DIME Sample ID 2025-02-13-3

Project Information

Project IdentifiersProject ID: 993333
DEA: 04264724
EFIS: 0419000068
DIST-CO-RTE-PM04-MRN-101-R20.8/27.1
Award Date04/26/2022
Closeout DateNot set
Work DescriptionCIP BRIDGES, CONSTRUCT ROADWAY, RETAINING WALLS AND MODIFY ELECTRICAL.
Location DescriptionMARIN COUNTY IN AND NEAR NOVATO FROM 0.1 MILE SOUTH OF FRANKLIN AVENUE OVERHEAD TO 0.5 MILE SOUTH OF SAN ANTONIO CREEK BRIDGE
QA Service Level1 (Verified on 11/01/2021)

Sample Information

Sample Taken Date02/13/2025 Sample Unique Key3
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 testing02/13/2025
Sample typeAcceptance A brief description of the sampleskid test
The quantity of what the sample constitutesmultiple lanes From where was the sample collectedJob Site
First name of sampler or witnessed byJosh Last name of sampler or witnessed byVelono
Title of samplerASR Telephone number of sampler916-621-8033
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameGCC Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier27-0090L
Structure nameFranklin Ave. OH Bid ItemNot set

Material Information

Material TypeRoadway/Bridge Surface Pavement Surface TypePCC (Portland Cement Concrete)
Type of Traffic Control ProvidedBehind K-Rail/Barrier DIST-CO-RTE04-MRN-R20.88
Direction of TravelSouth Post Mile20.88
Lanes to be TestedShoulder,Lane #1 Station

Submitted Tests

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