Sample Record

Owner Labs

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

DIME Sample ID 2025-10-24-58

Project Information

Project IdentifiersProject ID: 1000567
DEA: 042K7404
EFIS: 0417000018
DIST-CO-RTE-PM04-MRN-37-R11.2/14.5
Award Date12/20/2024
Closeout DateNot set
Work DescriptionCOLD PLANE AC PVMT, PLACE RHMA AND REPLACE CONCRETE BARRIER.
Location DescriptionMARIN COUNTY IN AND NEAR NOVATO FROM IGNACIO OVERHEAD TO PETALUMA RIVER BRIDGE
QA Service Level1 (Verified on 10/16/2024)

Sample Information

Sample Taken Date10/24/2025 Sample Unique Key58
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 testing12/30/2025
Sample typeProduction Start-Up A brief description of the sampleProduction Start Up
The quantity of what the sample constitutes3 BAGS PER BIN (BIN#1-4) From where was the sample collectedSupplier
First name of sampler or witnessed byJose Leon Last name of sampler or witnessed byAmparan
Title of sampler Telephone number of sampler
Laboratory sample identificationD04-SE-25-088 Linked DIME Sample ID2025-10-24-59
The fabricator/manufacturer/facility nameVulcan - Todd Road Batch Transportation Laboratory (TL) Number2025-10-24-001 to 004
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)Vulcan Materials
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 collectedSampled from Vulcan Santa Rosa
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 Number220994

Submitted Tests

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