Sample Record

Owner Labs

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

DIME Sample ID 2025-05-22-104

Project Information

Project IdentifiersProject ID: 994051
DEA: 041Q5814
EFIS: 0421000262
DIST-CO-RTE-PM04-SM-101-0.0-6.5
Award Date01/10/2024
Closeout DateNot set
Work DescriptionREHABILITATE PAVEMENT AND UPGRADE MEDIAN BARRIER [PS&E E-COPY AVAILABLE UPON REQUEST]
Location DescriptionSAN MATEO COUNTY FROM SAN MATEO COUNTY LINE IN EAST PALO ALTO TO WHIPPLE AVENUE IN REDWOOD CITY
QA Service Level1 (Verified on 07/05/2022)

Sample Information

Sample Taken Date05/22/2025 Sample Unique Key104
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 testing06/19/2025
Sample typeProduction Start-Up A brief description of the sample1/2" RHMA-G
The quantity of what the sample constitutes4 Bags Combined Agg From where was the sample collectedSource
First name of sampler or witnessed byJacob Last name of sampler or witnessed byVega
Title of sampler Telephone number of sampler
Laboratory sample identificationD04-SE-25-031 Linked DIME Sample ID2025-05-22-105
The fabricator/manufacturer/facility nameVulcan Pleasanton Drier Drum Plant Transportation Laboratory (TL) NumberSJ-052225-1
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)91-01-0010
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 collectedConveyor Belt
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size1/2 inch
The concrete mix design number Lot number4
Sublot number2 Aggregate Mix Number326122

Submitted Tests

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