Sample Record

Owner Lab

  • CT D04 - Concord Field Laboratory

DIME Sample ID 2025-05-06-103

Project Information

Project IdentifiersProject ID: 1000602
DEA: 040K6404
EFIS: 0416000112
DIST-CO-RTE-PM04-SOL-80-15.9/30.2
Award Date12/17/2024
Closeout DateNot set
Work DescriptionCOLD PLANE, OVERLAY, MGS, RAMP METERING, LIGHTING AND SIGNAL.
Location DescriptionSOLANO COUNTY ON ROUTE 80 IN AND NEAR FAIRFIELD AND VACAVILLE AT VARIOUS LOCATIONS FROM 1.5 MILES EAST OF SUISUN VALLEY ROAD OVERCROSSING TO 0.8 MILE EAST OF LEISURE TOWN ROAD OVERCROSSING.
QA Service Level1 (Verified on 10/07/2024)

Sample Information

Sample Taken Date05/06/2025 Sample Unique Key103
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 testing05/07/2025
Sample typeQuality Assurance A brief description of the sample3/4"RHMA-G
The quantity of what the sample constitutes100Tons From where was the sample collectedManufacturer
First name of sampler or witnessed byChristian Last name of sampler or witnessed bySousa
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameTeichert Woodland 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)91-57-0004
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 Size3/4 inch
The concrete mix design number Lot number1
Sublot number1 Aggregate Mix Number

Submitted Tests

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