Sample Record

Owner Lab

  • CT D04 - Hayward DME / District Laboratory

DIME Sample ID 2025-12-17-97

Project Information

Project IdentifiersProject ID: 993595
DEA: 042Q5504
EFIS: 0419000024
DIST-CO-RTE-PM04-SOL-12-7.9/14.1
Award Date02/14/2025
Closeout DateNot set
Work DescriptionRHMA OVERLAY, REPLACE CULVERTS, BRIDGE RAILS, AND MEDIAN BARRIERS.
Location DescriptionSOLANO COUNTY NEAR SUISUN CITY FROM 0.2 MILE EAST OF LAWLER RANCH PARKWAY TO 0.5 MILE EAST OF SHILOH ROAD
QA Service Level1 (Verified on 02/22/2022)

Sample Information

Sample Taken Date12/17/2025 Sample Unique Key97
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 testing02/13/2026
Sample typeProduction Start-Up A brief description of the sample3/4" HMA-SP+15% RAP
The quantity of what the sample constitutes2 Bags per Bin 1,2,3,4 From where was the sample collectedManufacturer
First name of sampler or witnessed byCody Last name of sampler or witnessed byC
Title of sampler Telephone number of sampler
Laboratory sample identificationD04-SE-26-004 Linked DIME Sample ID
The fabricator/manufacturer/facility nameTeichert Woodland Batch Plant Transportation Laboratory (TL) NumberCON-121725-1
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)Teichert Woodland
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 collectedBatch Plant Hot Bins
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size3/4 inch
The concrete mix design number Lot number2
Sublot number11 Aggregate Mix Number306 40432407 V

Submitted Tests

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