Sample Record
Owner Lab
- CT D04 - Richmond Field Laboratory
DIME Sample ID 2025-06-25-31
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 | 06/25/2025 | Sample Unique Key | 31 |
|---|---|---|---|
| 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 | 06/25/2025 |
| Sample type | Quality Assurance | A brief description of the sample | 2Bags |
| The quantity of what the sample constitutes | PCC Aggregates and sand | 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 | Rich_25_268 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | ECO Terra | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Bid Item | Not set |
Material Information
| Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | 91-48-0002 |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | 1X4 PCC + SAND | The fabricator/manufacturer designation for the sample | |
| The plant number | A detailed description of where the material sample was collected | Plant stock pile | |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 1 inch | |
| The concrete mix design number | 6SK4K1X425F | Lot number | |
| Sublot number | Aggregate Mix Number |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2025-06-25-31-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2025-06-25-31-2 CTM 202-November 2011 (Verified)
DIME Test ID: 2025-06-25-31-3 CTM 227-December 2014 (Verified)