Sample Record

DIME Sample ID 2023-05-09-54

Project Information

Project IdentifiersProject ID: 215396
DEA: 042K8404
EFIS: 0417000031
DIST-CO-RTE-PM04-SOL-29,80-0.0,0.8/1.6
Award Date03/26/2021
Closeout Date02/16/2024
Work DescriptionHMA, STRUCTURAL CONCRETE, CIDH PILING AND REBAR.
Location DescriptionSOLANO COUNTY IN VALLEJO AT ROUTE 80/29 SEPARATION AND ON ROUTE 80 FROM 0.2 MILE NORTH OF CARQUINEZ BRIDGE TOLL PLAZA TO 0.3 MILE SOUTH OF MAGAZINE STREET OVERCROSSING
QA Service Level1 (Verified on 01/25/2021)

Owner Labs

  • CT D04 - Fairfield Construction Field Office 59-545
  • CT HQ - Sacramento Concrete Testing Laboratory

Sample Information

Sample Taken Date05/09/2023 Sample Unique Key54
Date that the sample was received by the laboratory/organization performing the testing05/10/2023 Sample typeQuality Assurance
A brief description of the sampleStage 3 Type 836 barrier The quantity of what the sample constitutes21
From where was the sample collectedJob Site First name of sampler or witnessed byNestor Angelo
Last name of sampler or witnessed byPerez Title of samplerSR
Telephone number of sampler5103939319 Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameCentral Plant Martinez
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) Form
Structure unique identifier23-0259 Structure nameRoute 80/29 Separation
Bid ItemNot set

Material Information

Material TypeConcrete The concrete mix design numberD20115EA
The truck number from where the sample was collected4 The batch plant ticket number from where the sample was collected335801
Concrete batch plantCentral Plant Martinez The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedConcrete from wheelbarrow Where the material sample would have been placed if not sampledStage 3 Type 836 barrier
From Lot No. Bag Lot No.

Submitted Tests

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