DIME - Sample Record for DIME Sample ID 2021-10-11-17

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Sample Record

Owner Lab

Con-Fab California Corporation - Shafter

DIME Sample ID 2021-10-11-17

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Project Information

Project Identifiers	Project ID: 215753 DEA: 050N72U4 EFIS: 0520000169
DIST-CO-RTE-PM	05-SB-101-4.4/R7.7
Award Date	06/05/2021
Closeout Date	Not set
Work Description	Please cc Office Engineer Ni Nyoman Paul on reports sent to RE and SR. Construct High Occupancy Vehicle (HOV) lanes on U.S. Route 101 and rehabilitation - Segment 4B.
Location Description	101 freeway in Summerland, CA
QA Service Level	1 (Verified on 05/06/2021)

Sample Information

Sample Taken Date	10/11/2021	Sample Unique Key	17
Date that the sample was received by the laboratory/organization performing the testing	10/08/2021	Sample type	Quality Control
A brief description of the sample	sand	The quantity of what the sample constitutes	310
From where was the sample collected	Job Site	First name of sampler or witnessed by	Roberto
Last name of sampler or witnessed by	Reyes	Title of sampler	QC Technician
Telephone number of sampler		Laboratory sample identification
Linked DIME Sample ID		The fabricator/manufacturer/facility name	Con-Fab California, LLC
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)	SMARA 91 15 0041
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	silo
Where the material sample would have been placed if not sampled		Primary Aggregate Nominal Size	fine
The concrete mix design number		Lot number
Sublot number		Aggregate Mix Number	Not set

Submitted Tests

DIME Test ID	Test Method	Tester Name, Testing Lab	Date Tested	Date Added	Verified?	Release Date	Test Comments	Privacy Level	Actions
2021-10-11-17-1	ASTM C117-17: Standard Test Method for Materials Finer than 75-μm (No. 200) Sieve in Mineral Aggregates by Washing	Roberto Reyes, Con-Fab California Corporation - Shafter	10/11/2021		Yes	10/15/2021		Public - Test Data Visible

Sample File Attachments

File Name	Extension	Date Uploaded	Actions
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Test File Attachments

DIME Test ID: 2021-10-11-17-1 ASTM C117-17 (Verified)