Sample Record

Owner Labs

  • CT SC - 3672 - Richmond
  • CT D04 - Richmond Field Laboratory

DIME Sample ID 2023-12-21-9

Project Information

Project IdentifiersProject ID: 214590
DEA: 043G4744
EFIS: 0412000074
DIST-CO-RTE-PM04-MRN,MRN-580-6.9/7.8,0.0/2.5
Award Date01/14/2021
Closeout DateNot set
Work DescriptionCLEAN AND PAINT STRUCTURAL STEEL BRIDGE.
Location DescriptionCONTRA COSTA AND MARIN COUNTIES IN RICHMOND AND SAN RAFAEL FROM 0.8 MILE WEST OF TOLL PLAZA TO 0.1 MILE EAST OF MAIN STREET
QA Service Level1 (Verified on 02/18/2020)

Sample Information

Sample Taken Date12/21/2023 Sample Unique Key9
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 testing12/21/2023
Sample typeDepartment Acceptance A brief description of the sample1/2" coarse agg
The quantity of what the sample constitutes0 CY From where was the sample collectedSource
First name of sampler or witnessed byBill Last name of sampler or witnessed byHinds
Title of samplerASR Telephone number of sampler(916) 458-2078
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameAmerican Civil Constructors Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier28-0100
Structure nameRichmond San Rafael Bridge

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)91-58-0006
The fabricator's/manufacturer's product name for the sampleHallwood 1/2" MA The fabricator/manufacturer designation for the sample
The plant number A detailed description of where the material sample was collectedFrom the project staging area
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size1/2 inch
The concrete mix design number21005-12 Lot number
Sublot number Aggregate Mix Number

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2023-12-21-9-2CTM 202-November 2011: Method of Test for Sieve Analysis of Fine and Coarse AggregatesNicholas Hall, CT D04 - Concord Field Laboratory01/10/2024Nicholas Hall
Yes
02/12/2024
2023-12-21-9-3CTM 227-December 2014: Method of Test for Evaluating Cleanness of Coarse Aggregate (Cleanness)Nicholas Hall, CT D04 - Concord Field Laboratory01/10/2024Nicholas Hall
Yes
02/12/2024

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2023-12-21-9-2 CTM 202-November 2011 (Verified)
DIME Test ID: 2023-12-21-9-3 CTM 227-December 2014 (Verified)