Sample Record

Owner Lab

  • CT D10 - Stockton Field Laboratory

DIME Sample ID 2023-01-06-9

Project Information

Project IdentifiersProject ID: 993493
DEA: 100Q1224
EFIS: 1014000168
DIST-CO-RTE-PM10-MER-99-28.2/R37.3
Award Date03/30/2022
Closeout Date04/30/2025
Work DescriptionWIDEN CONCRETE PAVEMENT LANES AND BRIDGES.
Location DescriptionMERCED COUNTY IN AND NEAR LIVINGSTON FROM 0.8 MILE SOUTH OF HAMMATT AVENUE OVERCROSSING TO STANISLAUS COUNTY LINE
QA Service Level1 (Verified on 01/10/2022)

Sample Information

Sample Taken Date01/06/2023 Sample Unique Key9
Date that the sample was received by the laboratory/organization performing the testing01/09/2023 Sample typeDepartment Acceptance
A brief description of the sample1x4, 3/8" and sand collected The quantity of what the sample constitutesSufficient
From where was the sample collectedOther First name of sampler or witnessed byTim
Last name of sampler or witnessed byTrefz Title of samplerMaterials Technician
Telephone number of sampler2092518653 Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameBuilders Concrete Plant - Merced
Transportation Laboratory (TL) NumberCherokee Field Lab 401 Inspector Lot Number from the Transportation Laboratory (TL) Form
Structure unique identifier Structure nameConcrete Trial batch
Bid ItemNot set

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)Teichert Santa Fe Winton
The fabricator's/manufacturer's product name for the sampleTeichert Santa Fe - Winton The fabricator/manufacturer designation for the sampleTrial Batch Structural Concrete
The plant numberteichert Winton A detailed description of where the material sample was collectedCollected from stockpile
Where the material sample would have been placed if not sampledBridge Deck Primary Aggregate Nominal Size1 inch
The concrete mix design numberND14505 Lot number
Sublot number Aggregate Mix Number

Submitted Tests

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