Sample Record
Owner Lab
- CT D04 - Concord Field Laboratory
DIME Sample ID 2022-11-15-78
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 215677 DEA: 044G0804 EFIS: 0412000332 COOP: 042676 |
|---|---|
| DIST-CO-RTE-PM | 04-SOL-80-R10.4/30.2 |
| Award Date | 01/18/2022 |
| Closeout Date | Not set |
| Work Description | Highway widening, overhead signs, and electronic toll system. |
| Location Description | In Solano County in Fairfield and Vacaville from 1.0 mile west of Red Top Road Undercrossing to 0.4 mile east of Leisure Town Road Overcrossing. |
| QA Service Level | 1 (Verified on 04/11/2022) |
Sample Information
| Sample Taken Date | 11/15/2022 | Sample Unique Key | 78 |
|---|---|---|---|
| Will the laboratory/organization for which you are a member perform testing on this material sample? | Yes | Date that the sample was received by the laboratory/organization performing the testing | 11/16/2022 |
| Sample type | Annual Source Testing | A brief description of the sample | PCC Sand |
| The quantity of what the sample constitutes | 10 Bags | From where was the sample collected | Source |
| First name of sampler or witnessed by | Andy | Last name of sampler or witnessed by | QC tech |
| Title of sampler | QC Technician | Telephone number of sampler | 9162149316 |
| Laboratory sample identification | Con_22_1171 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Granite Capay | 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) | 91-57-0014 |
|---|---|---|---|
| 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 | source stockpile | |
| 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 |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2022-11-15-78-1 CTM 217-June 2011 (Verified)
DIME Test ID: 2022-11-15-78-2 CTM 207-March 2012 (Verified)
DIME Test ID: 2022-11-15-78-3 CTM 229-June 2011 (Verified)