Sample Record

Owner Labs

  • BSK Associates
  • CT D04 - Hayward DME / District Laboratory

DIME Sample ID 2025-08-04-108

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 Key108
Will the laboratory/organization for which you are a member perform testing on this material sample?No Date that the sample was received by the laboratory/organization performing the testing09/11/2025
Sample typeProduction Start-Up A brief description of the sample3/4"HMA-R25-WMA
The quantity of what the sample constitutes4 bags colfeed agg. 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 identificationD04-SE-25-057 Linked DIME Sample ID2025-08-04-109
The fabricator/manufacturer/facility nameVulcan Materials LH (DP) Transportation Laboratory (TL) NumberCON-080425-1
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 Number220304

Submitted Tests

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