Sample Record

Owner Labs

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

DIME Sample ID 2025-08-27-95

Project Information

Project IdentifiersProject ID: 1001501
DEA: 040X7204
EFIS: 0424000160
COOP: 04JOC25101
DIST-CO-RTE-PM04-SON-128-12.2/24.8
Award Date05/21/2025
Closeout DateNot set
Work DescriptionDIGOUT
Location DescriptionCONSTRUCTION ON STATE HIGHWAY IN SONOMA COUNTY AT AND NEAR KELLOGG FROM SAUSAL CREEK BRIDGE TO NAPA COUNTY LINE.
QA Service Level1 (Verified on 11/03/2025)

Sample Information

Sample Taken Date08/27/2025 Sample Unique Key95
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 testing09/16/2025
Sample typeProduction Start-Up A brief description of the sample3/4" HMA-A
The quantity of what the sample constitutes3 BAGS PER BIN (BIN#1-4) From where was the sample collectedManufacturer
First name of sampler or witnessed byAnthony Last name of sampler or witnessed byValdez
Title of sampler Telephone number of sampler
Laboratory sample identificationD04-SE-25-061 Linked DIME Sample ID2025-08-27-96
The fabricator/manufacturer/facility nameVulcan Materials Todd Road (BP) Transportation Laboratory (TL) NumberC100600
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)91-49-0004
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 number1
Sublot number3 Aggregate Mix Number220989

Submitted Tests

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