Sample Record

Owner Lab

  • CT D04 - Petaluma Field Laboratory

DIME Sample ID 2025-10-30-65

Project Information

Project IdentifiersProject ID: 212470
DEA: 044A1304
EFIS: 0400001106
COOP: 042718
DIST-CO-RTE-PM04-SON-101-18.5/18.5
Award Date11/17/2023
Closeout DateNot set
Work DescriptionCONSISTS OF MODIFICATION AND RECONSTRUCTION OF THE EXISTING US 101/HEARN AVENUE INTERCHANGE IN SONOMA COUNTY, INCLUDING REPLACING THE EXISTING TWO-LANE HEARN AVENUE OVERCROSSING WITH A NEW OVERCROSSING, AND MODIFYING THE SOUTHBOUND OFF-RAMP IN CITY
Location DescriptionIN SONOMA COUNTY.
QA Service Level1 (Verified on 09/23/2019)

Sample Information

Sample Taken Date10/30/2025 Sample Unique Key65
Will the laboratory/organization for which you are a member perform testing on this material sample?Yes Date that the sample was received by the laboratory/organization performing the testing10/30/2025
Sample typeQuality Assurance A brief description of the sample1/2 ham aggregates
The quantity of what the sample constitutes3 bags From where was the sample collectedManufacturer
First name of sampler or witnessed byCasey Last name of sampler or witnessed byFarrington
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameBodean Mark West Quarry Transportation Laboratory (TL) Number
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)91-49-0032
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 collectedHot Bins
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size1/2 inch
The concrete mix design number Lot number
Sublot number Aggregate Mix Number

Submitted Tests

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