Sample Record
Owner Lab
- CT D04 - Hayward Field Laboratory
DIME Sample ID 2023-04-22-6
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 993804 DEA: 043J0624 EFIS: 0419000534 |
|---|---|
| DIST-CO-RTE-PM | 04-SM-101-16.5/23.0 |
| Award Date | 08/24/2022 |
| Closeout Date | 04/10/2024 |
| Work Description | COLD PLANE AND PLACE HMA, REPLACE GUARDRAIL AND CURB RAMPS. |
| Location Description | SAN MATEO COUNTY AT VARIOUS LOCATION FROM BROADWAY OVERCROSSING TO 0.2 MILE NORTH OF OYSTER POINT BOULEVARD OVERCROSSING |
| QA Service Level | 1 (Verified on 05/19/2022) |
Sample Information
| Sample Taken Date | 04/22/2023 | Sample Unique Key | 6 |
|---|---|---|---|
| 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 | 04/24/2023 |
| Sample type | Quality Assurance | A brief description of the sample | PCC Concrete Sand Fine Agg |
| The quantity of what the sample constitutes | 35 cu yd | From where was the sample collected | Job Site |
| First name of sampler or witnessed by | Luis | Last name of sampler or witnessed by | Magana |
| Title of sampler | Telephone number of sampler | 2092250104 | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Vanguard Batch Plant | Transportation Laboratory (TL) Number | |
| Inspector Lot Number from the Transportation Laboratory (TL) Form | Structure unique identifier | ||
| Structure name |
Material Information
| Material Type | Aggregate | Source Identification (SMARA, name of Pit or Job Site) | Orca Quarry, Port Mcneill, B.C. |
|---|---|---|---|
| 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 | Stockpile @ Jobsite | |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 3/8 inch | |
| The concrete mix design number | HE4X4BM | Lot number | |
| Sublot number | Aggregate Mix Number |
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2023-04-22-6-1 CTM 217-June 2011 (Verified)