Sample Record

Owner Labs

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

DIME Sample ID 2025-09-03-83

Project Information

Project IdentifiersProject ID: 1001174
DEA: 040X7004
EFIS: 0424000158
DIST-CO-RTE-PM04-SOL-84-3.0/13.6
Award Date06/25/2025
Closeout DateNot set
Work DescriptionCOLD PLANE AC PAVEMENT AND OVERLAY WITH RHMA-G (BWC).
Location DescriptionSOLANO COUNTY NEAR RIO VISTA FROM 0.4 MILE NORTH OF CACHE SLOUGH FERRY TO YOLO COUNTY LINE
QA Service Level1 (Verified on 08/14/2025)

Sample Information

Sample Taken Date09/03/2025 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 testing09/26/2025
Sample typeProduction Start-Up A brief description of the sample3/4" HMA + 15% RAP
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-25-064 Linked DIME Sample ID2025-09-03-84
The fabricator/manufacturer/facility nameTeichert Perkins - Continuous Plant Transportation Laboratory (TL) NumberCON-090325-1
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)91-34-0053
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 collectedStockpile @ Plant
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size3/4 inch
The concrete mix design number Lot number
Sublot number Aggregate Mix Number30140432407V

Submitted Tests

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