Sample Record
Owner Lab
- CT D06 - Millbrook Field Laboratory
DIME Sample ID 2023-05-08-98
Project Information
| Project Identifiers | Project ID: 993804 DEA: 043J0624 EFIS: 0419000534 |
|---|---|
| DIST-CO-RTE-PM | 04-SM-101-16.5/23.0 |
| Award Date | 08/24/2022 |
| Closeout Date | 04/10/2024 |
| Work Description | COLD PLANE AND PLACE HMA, REPLACE GUARDRAIL AND CURB RAMPS. |
| Location Description | SAN MATEO COUNTY AT VARIOUS LOCATION FROM BROADWAY OVERCROSSING TO 0.2 MILE NORTH OF OYSTER POINT BOULEVARD OVERCROSSING |
| QA Service Level | 1 (Verified on 05/19/2022) |
Sample Information
| Sample Taken Date | 05/08/2023 | Sample Unique Key | 98 |
|---|---|---|---|
| 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 testing | 05/08/2023 |
| Sample type | Acceptance | A brief description of the sample | 1X#4 & 3/8 Coarse Agg |
| The quantity of what the sample constitutes | 0 | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Frank | Last name of sampler or witnessed by | Alas-Arteaga |
| Title of sampler | Telephone number of sampler | 2092250104 | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | JJJ Redi-Mix Coalinga | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name | Bid Item | Not set |
Material Information
| Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | 91-10-0005 |
|---|---|---|---|
| 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 collected | Jobsite Stockpile | |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 1 inch | |
| The concrete mix design number | HE4X4BM | Lot number | |
| Sublot number | Aggregate Mix Number |
Submitted Tests
| DIME Test ID | Test Method | Tester Name, Testing Lab | Date Tested | Date Added | Verified? | Release Date | Test Comments | Privacy Level | Actions |
|---|---|---|---|---|---|---|---|---|---|
| No results found. | |||||||||
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
