Sample Record
Owner Lab
- CT D04 - Richmond Field Laboratory
DIME Sample ID 2025-06-04-69
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 993454 DEA: 040K8004 EFIS: 0416000141 COOP: 042892 |
|---|---|
| DIST-CO-RTE-PM | 04-MRN-101-13.7 |
| Award Date | 02/05/2025 |
| Closeout Date | Not set |
| Work Description | CONSTRUCT ROUNDABOUT, CURB RAMPS AND SW, SIGNAL AND LIGHTING SYSTEMS. |
| Location Description | MARIN COUNTY IN SAN RAFAEL AT FREITAS PARKWAY OVERCROSSING |
| QA Service Level | 1 (Verified on 12/10/2021) |
Sample Information
| Sample Taken Date | 06/04/2025 | Sample Unique Key | 69 |
|---|---|---|---|
| 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 testing | 06/04/2025 |
| Sample type | Quality Assurance | A brief description of the sample | 1x 4 Pcc Aggregate and sand |
| The quantity of what the sample constitutes | 90.69 | From where was the sample collected | Fabricator |
| First name of sampler or witnessed by | Jose Leon | Last name of sampler or witnessed by | Amparan |
| Title of sampler | TET | Telephone number of sampler | 8317060175 |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Ecoterra Ready Mix | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | RW-1 Footing at Freitas PKWY, San Rafael | Bid Item | Not set |
Material Information
| Material Type | Concrete | The concrete mix design number | 6SK4K1X425F |
|---|---|---|---|
| The truck number from where the sample was collected | yard stockpile | The batch plant ticket number from where the sample was collected | 0000 |
| Concrete batch plant | The fabricator/manufacturer designation for the sample | Ecoterra redy mix | |
| A detailed description of where the material sample was collected | yard Stockpile | Where the material sample would have been placed if not sampled | |
| From Lot No. | Bag Lot No. |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Date Added | Verified? | Release Date | Test Comments | Privacy Level | Actions |
|---|---|---|---|---|---|---|---|---|---|
| No results found. | |||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||