Sample Record
Owner Lab
- CT D04 - Concord Field Laboratory
DIME Sample ID 2023-07-24-40
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 993424 DEA: 04281204 EFIS: 0400000769 |
|---|---|
| DIST-CO-RTE-PM | 04-NAP-29,221-5.5/6.7,0.0/0.2 |
| Award Date | 03/21/2022 |
| Closeout Date | Not set |
| Work Description | HMA, RDWY EXCAVATION, STRUCTURAL CONC AND MODIFYING LIGHTING SYSTEMS. |
| Location Description | NAPA 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 Level | 1 (Verified on 12/08/2021) |
Sample Information
| Sample Taken Date | 07/24/2023 | Sample Unique Key | 40 |
|---|---|---|---|
| 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 | 07/24/2023 |
| Sample type | Quality Assurance | A brief description of the sample | Con Sand |
| The quantity of what the sample constitutes | 1 bag | From where was the sample collected | Manufacturer |
| First name of sampler or witnessed by | Ignacio | Last name of sampler or witnessed by | Arechiga |
| Title of sampler | QA Technician | Telephone number of sampler | 5102077252 |
| Laboratory sample identification | Linked DIME Sample ID | Con_23_869 | |
| The fabricator/manufacturer/facility name | Shamrock Napa | 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) | 91-57-0008 |
|---|---|---|---|
| The fabricator's/manufacturer's product name for the sample | 1x4 concrete aggregate | The fabricator/manufacturer designation for the sample | Batch |
| The plant number | A detailed description of where the material sample was collected | Belt Cut at the Plant | |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 1 inch | |
| The concrete mix design number | SL4201CG | Lot number | |
| Sublot number | Aggregate Mix Number | SL4201CG |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2023-07-24-40-1 CTM 202-November 2011 (Verified)