Sample Record

Owner Labs

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

DIME Sample ID 2025-09-08-49

Project Information

Project IdentifiersProject ID: 1000017
DEA: 042Q7004
EFIS: 0419000040
DIST-CO-RTE-PM04-CC-4-L0.0/R14.3
Award Date04/26/2024
Closeout DateNot set
Work DescriptionREPLACE ASPHALT CONCRETE SURFACING AND INSTALL MGS.
Location DescriptionCONTRA COSTA COUNTY IN HERCULES AND CONCORD FROM SAN PABLO AVENUE TO ROUTE 4/242 SEPARATION
QA Service Level1 (Verified on 01/08/2024)

Sample Information

Sample Taken Date09/08/2025 Sample Unique Key49
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 sample1/2" RHMA-G
The quantity of what the sample constitutes3 Bags Combined 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-25-062 Linked DIME Sample ID2025-09-08-50
The fabricator/manufacturer/facility nameDutra Richmond (DP) Transportation Laboratory (TL) NumberCON-090825-1
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)91-21-0008, 91-01-0010
The fabricator's/manufacturer's product name for the sample The fabricator/manufacturer designation for the sampleDutra Richmond
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 Size1/2 inch
The concrete mix design number Lot number3
Sublot number3 Aggregate Mix NumberL241312

Submitted Tests

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