Sample Record
Owner Lab
- CT D04 - Petaluma Field Laboratory
DIME Sample ID 2025-05-30-87
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Project Information
| Project Identifiers | Project ID: 209109 DEA: 043G9004 EFIS: 0412000557 COOP: 042513 |
|---|---|
| DIST-CO-RTE-PM | 04-SON-116,121-46.0/46.7,5.8/R7.4 |
| Award Date | 07/31/2023 |
| Closeout Date | Not set |
| Work Description | MODIFY EXISTING STATE ROUTE 116,121 BONNEAU ROAD INTERSECTION FROM A 4 WAY STOP CONTROLLED INTERSECTION TO A ROUNDABOUT AND SIGNALIZED INTERSECTION. |
| Location Description | SONOMA COUNTY |
| QA Service Level | 1 (Verified on 08/15/2022) |
Sample Information
| Sample Taken Date | 05/30/2025 | Sample Unique Key | 87 |
|---|---|---|---|
| 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 testing | 05/30/2025 |
| Sample type | Quality Assurance | A brief description of the sample | 1x 4 Pcc Aggregate |
| The quantity of what the sample constitutes | 2 bags | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Anthony | Last name of sampler or witnessed by | Valdez |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Shamrock | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Bid Item | Not set |
Material Information
| Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | Orca |
|---|---|---|---|
| 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 collected | Conveyor Belt | |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 1 inch | |
| The concrete mix design number | Lot number | ||
| Sublot number | Aggregate Mix Number |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Date Added | Verified? | Release Date | Test Comments | Privacy Level | Actions |
|---|---|---|---|---|---|---|---|---|---|
| 2025-05-30-87-1 | CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse Aggregates | Anthony Valdez, CT D04 - Petaluma Field Laboratory | 05/30/2025 | 11/25/2025 | No |
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2025-05-30-87-1 CTM 202-November 2011