Sample Record

Owner Labs

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

DIME Sample ID 2025-10-06-94

Project Information

Project IdentifiersProject ID: 1001220
DEA: 040X6604
EFIS: 0424000154
DIST-CO-RTE-PM04-ALA-84-R21.4/R23.1
Award Date06/25/2025
Closeout DateNot set
Work DescriptionCOLD PLANE AC PAVEMENT AND OVERLAY WITH RHMA-G.
Location DescriptionALAMEDA COUNTY IN AND NEAR PLEASANTON AND LIVERMORE FROM 0.1 MILE SOUTH OF VEHICLE UNDERCROSSING SOUTH TO 0.1 MILE SOUTH OF RUBY HILL DRIVE
QA Service Level1 (Verified on 04/28/2025)

Sample Information

Sample Taken Date10/06/2025 Sample Unique Key94
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 testing10/30/2025
Sample typeProduction Start-Up A brief description of the sample3/4" RHMA-G
The quantity of what the sample constitutes4 Boxes Combined Agg. From where was the sample collectedManufacturer
First name of sampler or witnessed byLEONARDO Last name of sampler or witnessed byMendoza
Title of sampler Telephone number of sampler
Laboratory sample identificationD04-SE-25-075 Linked DIME Sample ID2025-10-06-95
The fabricator/manufacturer/facility nameTeichert Materials - Vernalis Transportation Laboratory (TL) Number PL100625
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)91-39-0041
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 collectedPlant Sampler
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 Number30240532510V

Submitted Tests

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