Sample Record

Owner Lab

  • CT D04 - Concord Field Laboratory

DIME Sample ID 2023-05-15-16

Project Information

Project IdentifiersProject ID: 993424
DEA: 04281204
EFIS: 0400000769
DIST-CO-RTE-PM04-NAP-29,221-5.5/6.7,0.0/0.2
Award Date03/21/2022
Closeout DateNot set
Work DescriptionHMA, RDWY EXCAVATION, STRUCTURAL CONC AND MODIFYING LIGHTING SYSTEMS.
Location DescriptionNAPA COUNTY NEAR NAPA ON ROUTE 29 FROM 0.7 MILE SOUTH TO 0.5 MILE NORTH OF ROUTE 221 AND ON ROUTE 221 FROM 0.2 MILE NORTH OF ROUTE 29 TO ROUTE 29
QA Service Level1 (Verified on 12/08/2021)

Sample Information

Sample Taken Date05/15/2023 Sample Unique Key16
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 testing05/15/2023
Sample typeQuality Assurance A brief description of the samplePCC 1x4 and Sand
The quantity of what the sample constitutes2 bags From where was the sample collectedManufacturer
First name of sampler or witnessed byIgnacio Last name of sampler or witnessed byArechiga
Title of samplerQA Inspector Telephone number of sampler5102077252
Laboratory sample identification Linked DIME Sample ID2023-05-05-33
The fabricator/manufacturer/facility nameShamrock Napa Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier21-0119
Structure namebridge Bid ItemNot set

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)91-57-0008
The fabricator's/manufacturer's product name for the sample9796Hv/SL4201CG The fabricator/manufacturer designation for the sample1X4 and sand
The plant number A detailed description of where the material sample was collectedConveyor Belt
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size1 inch
The concrete mix design number Lot number
Sublot number Aggregate Mix NumberPCC 1x4 and sand

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
2023-05-15-16-1CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesIGNACIO ARECHIGA, CT D04 - Concord Field Laboratory05/15/202305/16/2023
Yes
05/16/2023All aggregates are Cemes Cache creek - Madison Public - Test Data Visible
2023-05-15-16-2CTM 217-June 2011: Method of Test for Sand EquivalentIGNACIO ARECHIGA, CT D04 - Concord Field Laboratory05/15/202305/16/2023
Yes
05/16/2023Public - Test Data Visible
2023-05-15-16-3CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesIGNACIO ARECHIGA, CT D04 - Concord Field Laboratory05/15/202305/16/2023
Yes
05/16/2023Public - Test Data Visible

Sample File Attachments

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Test File Attachments


DIME Test ID: 2023-05-15-16-1 CTM 202-November 2011 (Verified)
DIME Test ID: 2023-05-15-16-2 CTM 217-June 2011 (Verified)
DIME Test ID: 2023-05-15-16-3 CTM 202-November 2011 (Verified)