Sample Record
Owner Labs
- BSK Associates
- CT D04 - Hayward DME / District Laboratory
DIME Sample ID 2025-08-19-83
Project Information
| Project Identifiers | Project ID: 1000602 DEA: 040K6404 EFIS: 0416000112 |
|---|---|
| DIST-CO-RTE-PM | 04-SOL-80-15.9/30.2 |
| Award Date | 12/17/2024 |
| Closeout Date | Not set |
| Work Description | COLD PLANE, OVERLAY, MGS, RAMP METERING, LIGHTING AND SIGNAL. |
| Location Description | SOLANO 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 Level | 1 (Verified on 10/07/2024) |
Sample Information
| Sample Taken Date | 08/19/2025 | Sample Unique Key | 83 |
|---|---|---|---|
| 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 testing | 09/15/2025 |
| Sample type | Production Start-Up | A brief description of the sample | 3/4" RHMA-G |
| The quantity of what the sample constitutes | 2 Bags per bin#1-4 | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Christian | Last name of sampler or witnessed by | Sousa |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | D04-SE-25-060 | Linked DIME Sample ID | 2025-08-19-84 |
| The fabricator/manufacturer/facility name | Teichert Woodland | Transportation Laboratory (TL) Number | CON-081925-1 |
| 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) | 91-57-0004 |
|---|---|---|---|
| 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 collected | At the plant | |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 3/4 inch | |
| The concrete mix design number | Lot number | 3 | |
| Sublot number | 3 | Aggregate Mix Number | 30640532508P |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Date Added | Verified? | Release Date | Test Comments | Privacy Level | Actions |
|---|---|---|---|---|---|---|---|---|---|
| No results found. | |||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
