Sample Record
Owner Lab
- CT D04 - Hayward DME / District Laboratory
DIME Sample ID 2026-05-04-67
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Project Information
| Project Identifiers | Project ID: 993454 DEA: 040K8004 EFIS: 0416000141 COOP: 042892 |
|---|---|
| DIST-CO-RTE-PM | 04-MRN-101-13.7 |
| Award Date | 02/05/2025 |
| Closeout Date | Not set |
| Work Description | CONSTRUCT ROUNDABOUT, CURB RAMPS AND SW, SIGNAL AND LIGHTING SYSTEMS. |
| Location Description | MARIN COUNTY IN SAN RAFAEL AT FREITAS PARKWAY OVERCROSSING |
| QA Service Level | 1 (Verified on 12/10/2021) |
Sample Information
| Sample Taken Date | 05/04/2026 | Sample Unique Key | 67 |
|---|---|---|---|
| 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 testing | 05/08/2026 |
| Sample type | Production Start-Up | A brief description of the sample | 3/4" HMA-A |
| The quantity of what the sample constitutes | 3 Bags Combined Aggregate | From where was the sample collected | Supplier |
| First name of sampler or witnessed by | Jose Leon | Last name of sampler or witnessed by | Amparan |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | D04-SE-26-011 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Dutra San Rafael | Transportation Laboratory (TL) Number | C2026-05-04-01 |
| 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) | 91-21-0008 |
|---|---|---|---|
| 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 | L1 SL1 PSU | |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 3/4 inch | |
| The concrete mix design number | Lot number | 1 | |
| Sublot number | 1 | Aggregate Mix Number | L210143WMA |
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. | |||