Sample Record

Owner Lab

  • Pavement Engineers

DIME Sample ID 2022-09-02-78

Project Information

Project IdentifiersProject ID: 993333
DEA: 04264724
EFIS: 0419000068
DIST-CO-RTE-PM04-MRN-101-R20.8/27.1
Award Date04/26/2022
Closeout DateNot set
Work DescriptionCIP BRIDGES, CONSTRUCT ROADWAY, RETAINING WALLS AND MODIFY ELECTRICAL.
Location DescriptionMARIN COUNTY IN AND NEAR NOVATO FROM 0.1 MILE SOUTH OF FRANKLIN AVENUE OVERHEAD TO 0.5 MILE SOUTH OF SAN ANTONIO CREEK BRIDGE
QA Service Level1 (Verified on 11/01/2021)

Sample Information

Sample Taken Date09/02/2022 Sample Unique Key78
Date that the sample was received by the laboratory/organization performing the testing09/02/2022 Sample typeQuality Control
A brief description of the sampleaggregate The quantity of what the sample constitutes25 yards
From where was the sample collectedSupplier First name of sampler or witnessed byShamrock
Last name of sampler or witnessed byPetaluma Title of samplerbatch plant
Telephone number of sampler707-765-8560 Laboratory sample identificationS-1014
Linked DIME Sample ID2022-09-02-64 The fabricator/manufacturer/facility nameShamrock Materials Petaluma
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)Shamrock Materials Petaluma
The fabricator's/manufacturer's product name for the sampleconcrete aggregate The fabricator/manufacturer designation for the sample
The plant number A detailed description of where the material sample was collectedFrom stockpiles at source
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size1 inch
The concrete mix design numberSL-4201CG Lot number
Sublot number Aggregate Mix NumberNot set

Submitted Tests

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