Sample Record
Owner Lab
- CT D04 - Concord Field Laboratory
DIME Sample ID 2023-10-04-90
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 994812 DEA: 042K7204 EFIS: 0417000014 |
|---|---|
| DIST-CO-RTE-PM | 04-CC-4-R14.3/24.3 |
| Award Date | 03/23/2023 |
| Closeout Date | Not set |
| Work Description | Pvmt rehabilitation, slab repl, ADA curb ramp and install guardrail. |
| Location Description | On state highway in Contra Costa County in and near Concord and Pittsburg from 0.3 miles east of Peralta Road Undercrossing to Loveridge Road Overcrossing. |
| QA Service Level | 1 (Verified on 05/10/2023) |
Sample Information
| Sample Taken Date | 10/04/2023 | Sample Unique Key | 90 |
|---|---|---|---|
| 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 | 10/23/2023 |
| Sample type | Quality Assurance | A brief description of the sample | 3/4-INCH RHMA-G |
| The quantity of what the sample constitutes | LOT 1 SUBLOT 4 | From where was the sample collected | Source |
| First name of sampler or witnessed by | Nick | Last name of sampler or witnessed by | Hall |
| Title of sampler | Telephone number of sampler | 7072999133 | |
| Laboratory sample identification | Linked DIME Sample ID | ||
| The fabricator/manufacturer/facility name | Teichert Vernalis Drier Drum 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) | 91-39-0041 |
|---|---|---|---|
| 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 | Sample Pickup from Plant | |
| Where the material sample would have been placed if not sampled | Primary Aggregate Nominal Size | 3/4 inch | |
| The concrete mix design number | Lot number | 1 | |
| Sublot number | 4 | Aggregate Mix Number | 30240532510A |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2023-10-04-90-13 AASHTO T176-08 (Verified)
DIME Test ID: 2023-10-04-90-14 AASHTO T27-14 (Verified)