Sample Record

Owner Lab

  • CT D04 - Hayward Field Laboratory

DIME Sample ID 2025-08-04-107

Project Information

Project IdentifiersProject ID: 995174
DEA: 043W5604
EFIS: 0421000388
DIST-CO-RTE-PM04-SOL-12,80,680-Var
Award Date09/03/2024
Closeout DateNot set
Work DescriptionPOLYESTER CONCRETE OVERLAY.
Location DescriptionSOLANO COUNTY AT VARIOUS LOCATIONS
QA Service Level1 (Verified on 11/16/2023)

Sample Information

Sample Taken Date08/04/2025 Sample Unique Key107
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 testing08/06/2025
Sample typeQuality Assurance A brief description of the sample3/4"HMA-R25-WMA
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 nameVulcan Vallejo 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)91-48-0002
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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