Sample Record

Owner Lab

  • CT D04 - San Jose Construction Field Laboratory

DIME Sample ID 2025-08-22-55

Project Information

Project IdentifiersProject ID: 995262
DEA: 041Q4604
EFIS: 0418000279
DIST-CO-RTE-PM04-SCL-280-0/2.7
Award Date05/02/2024
Closeout DateNot set
Work DescriptionRHMA-G SURFACING AND CONSTRUCT BRIDGE APPROACH.
Location DescriptionSANTA CLARA COUNTY IN SAN JOSE FROM ROUTE 280/680/101 SEPARATION TO 0.2 MILE WEST OF BIRD AVENUE OVERCROSSING
QA Service Level1 (Verified on 12/11/2023)

Sample Information

Sample Taken Date08/22/2025 Sample Unique Key55
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 testing08/25/2025
Sample typeQuality Assurance A brief description of the sample3/4" RHMA-G
The quantity of what the sample constitutes1500-2250 Tons 3rd sample From where was the sample collectedSource
First name of sampler or witnessed byJoe Last name of sampler or witnessed byPuno
Title of samplerQC Tech Telephone number of sampler
Laboratory sample identificationSJ-082225-SA3 Linked DIME Sample ID
The fabricator/manufacturer/facility nameMartin Marietta Sunol Drum Plant Transportation Laboratory (TL) NumberSJ-082225-3
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)91-01-0011
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 collectedBelt Discharge Stream at 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 number3 Aggregate Mix Number63S4BV 25W1C 8967

Submitted Tests

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