Sample Record

Owner Lab

  • CT D04 - Richmond Field Laboratory

DIME Sample ID 2025-04-22-8

Project Information

Project IdentifiersProject ID: 1000568
DEA: 043J2604
EFIS: 0415000110
DIST-CO-RTE-PM04-ALA,CC-80,680-5.9/6.4,16.9/17.1
Award Date12/13/2024
Closeout DateNot set
Work DescriptionINSTALL CB, WROUGHT IRON FENCE, MODIFY LIGHTING SYSTEMS AND HMA.
Location DescriptionALAMEDA AND CONTRA COSTA COUNTIES IN BERKELEY AND PLEASANT HILL ON ROUTE 80 FROM UNIVERSITY AVENUE OVERCROSSING TO GILMAN STREET UNDERCROSSING AND ON ROUTE 680 FROM OAK PARK BOULEVARD OVERCROSSING TO CONTRA COSTA BOULEVARD OVERCROSSING
QA Service Level1 (Verified on 10/07/2024)

Sample Information

Sample Taken Date04/22/2025 Sample Unique Key8
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 testing04/22/2025
Sample typeIndependent Assurance A brief description of the sample1/2 HMA-O
The quantity of what the sample constitutes5 Bags From where was the sample collectedManufacturer
First name of sampler or witnessed byIGNACIO Last name of sampler or witnessed byARECHIGA
Title of samplerCONSULTANT TECH Telephone number of sampler5102077252
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameVulcan-Pleasanton Transportation Laboratory (TL) Number
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)91-01-0010
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 Size1/2 inch
The concrete mix design number Lot number
Sublot number Aggregate Mix Number320809W

Submitted Tests

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