Sample Record
Owner Lab
- RMA Group - Rancho Cordova
DIME Sample ID 2023-04-20-33
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Project Information
| Project Identifiers | Project ID: 993239 DEA: 100P5404 EFIS: 1013000251 |
|---|---|
| DIST-CO-RTE-PM | 10-SJ,STA-5,99-6.2/6.6,R17.7/R18.1 |
| Award Date | 10/29/2021 |
| Closeout Date | 08/30/2023 |
| Work Description | REMOVE & PLACE STRUCTURAL CONCRETE BRIDGE; AND PLACE CONCRETE BARRIER. |
| Location Description | SAN JOAQUIN AND STANISLAUS COUNTIES ON ROUTE 5 FROM 0.2 MILE SOUTH TO 0.2 MILE NORTH OF ROUTE 5/33 SEPARATION AND OVERHEAD AND ON ROUTE 99 FROM 0.2 MILE SOUTH TO 0.2 MILE NORTH OF WEST MODESTO OVERHEAD |
| QA Service Level | 1 (Verified on 09/27/2021) |
Sample Information
| Sample Taken Date | 04/20/2023 | Sample Unique Key | 33 |
|---|---|---|---|
| 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 | 04/20/2023 |
| Sample type | Quality Control | A brief description of the sample | 1" x #4 Aggregate |
| The quantity of what the sample constitutes | 1 Day | From where was the sample collected | Supplier |
| First name of sampler or witnessed by | Jarrad | Last name of sampler or witnessed by | McCabe |
| Title of sampler | Telephone number of sampler | ||
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Cemex | 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) | 91-50-0026 |
|---|---|---|---|
| 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 | |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 1 inch | |
| The concrete mix design number | 1617136 | 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: 2023-04-20-33-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2023-04-20-33-2 CTM 227-December 2014 (Verified)