Sample Record

Owner Lab

  • CT D04 - Concord Field Laboratory

DIME Sample ID 2025-12-30-6

Project Information

Project IdentifiersProject ID: 1001375
DEA: 040A53T4
EFIS: 0421000155
COOP: 040A53TCM
DIST-CO-RTE-PM04-SOL-80-L1.8/L3.2
Award Date06/20/2025
Closeout DateNot set
Work DescriptionConstruct I-80 WB Truck Scales
Location DescriptionCONSTRUCTION ON STATE HIGHWAY IN SOLANO COUNTY IN AND NEAR FAIRFIELD ON ROUTE 12 FROM THE 80/12 EAST JUNCTION TO 0.9 MILE EAST OF CHADBOURNE ROAD UNDERCROSSING AND ON ROUTE 80 FROM 0.5 MILE WEST OF DAN WILSON CREEK BRIDGE TO WEST TEXAS STREET UNDERCROSSI
QA Service Level1 (Verified on 07/10/2025)

Sample Information

Sample Taken Date12/30/2025 Sample Unique Key6
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 testing12/30/2025
Sample typeQuality Assurance A brief description of the sample1"-3/4"Down
The quantity of what the sample constitutes100Tons From where was the sample collectedJob Site
First name of sampler or witnessed byCC Last name of sampler or witnessed byN/A
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility namevulcan materials 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)Jobsite material
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 collectedJobsite.
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size1 inch
The concrete mix design number Lot number
Sublot number Aggregate Mix Number

Submitted Tests

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