Sample Record

Owner Labs

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

DIME Sample ID 2025-08-19-83

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 Date08/19/2025 Sample Unique Key83
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 testing09/15/2025
Sample typeProduction Start-Up A brief description of the sample3/4" RHMA-G
The quantity of what the sample constitutes2 Bags per bin#1-4 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-25-060 Linked DIME Sample ID2025-08-19-84
The fabricator/manufacturer/facility nameTeichert Woodland Transportation Laboratory (TL) NumberCON-081925-1
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)91-57-0004
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 number3
Sublot number3 Aggregate Mix Number30640532508P

Submitted Tests

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