Sample Record

Owner Lab

  • CT D11 - District 11 Materials Laboratory

DIME Sample ID 2026-03-25-2

Project Information

Project IdentifiersProject ID: 993812
DEA: 11431274
EFIS: 1121000129
DIST-CO-RTE-PM11-SD-5-R0.3/R36.0
Award Date01/28/2025
Closeout DateNot set
Work DescriptionCMGC Project- Restore the pavement to a state of good repair through roadway rehabilitation, pavement preservation, drainage restoration, transportation management system upgrades, and American with Disabilities Act (ADA) infrastructure improvements.
Location DescriptionSD County
QA Service Level1 (Verified on 09/19/2022)

Sample Information

Sample Taken Date03/25/2026 Sample Unique Key2
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 testing03/25/2026
Sample typeQuality Assurance A brief description of the sampleConcrete Aggregates
The quantity of what the sample constitutes3 bags From where was the sample collectedJob Site
First name of sampler or witnessed byGerardo Last name of sampler or witnessed byCordero
Title of sampler Telephone number of sampler
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameRobertson's Otay 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)Not Provided
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
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size1 inch
The concrete mix design numberRRM 24094 Lot number
Sublot number Aggregate Mix Number

Submitted Tests

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