Sample Record

DIME Sample ID 2023-02-10-47

Project Information

Project IdentifiersProject ID: 215486
DEA: 040A0204
EFIS: 0400000129
DIST-CO-RTE-PM04-SON-1-15-15.7
Award Date05/04/2021
Closeout DateNot set
Work DescriptionConstruct roadway and bridge with structural concrete and CIDH piling
Location DescriptionDistrict-County-Route-Post Mile: 04-Son-1-R15.0/R15.7
QA Service Level1 (Verified on 04/08/2022)

Owner Lab

  • CT D04 - Petaluma Field Laboratory

Sample Information

Sample Taken Date02/10/2023 Sample Unique Key47
Date that the sample was received by the laboratory/organization performing the testing02/10/2023 Sample typeQuality Assurance
A brief description of the sampleHMA Aggregates The quantity of what the sample constitutes4 Bags
From where was the sample collectedSource First name of sampler or witnessed byAnthony
Last name of sampler or witnessed byValdez Title of samplerConsultant
Telephone number of sampler916-837-3760 Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameBoDean Santa Rosa
Transportation Laboratory (TL) Number861615 Inspector Lot Number from the Transportation Laboratory (TL) Form1
Structure unique identifier Structure name
Bid ItemNot set

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)91-49-0032
The fabricator's/manufacturer's product name for the sample700-SPW-16 The fabricator/manufacturer designation for the sample
The plant number A detailed description of where the material sample was collectedPulled from Bin 2
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size3/8 inch
The concrete mix design number Lot number1
Sublot number1 Aggregate Mix Number

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
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