Sample Record

DIME Sample ID 2024-03-05-45

Project Information

Project IdentifiersProject ID: 994803
DEA: 043J0704
EFIS: 0415000077
DIST-CO-RTE-PM04-CC-80-10.1/13.5
Award Date03/10/2023
Closeout Date10/06/2025
Work DescriptionRemove PCC and AC, place PCP and AC Resurfacing.
Location DescriptionConstruction on State Highway in Contra Costa County in Hercules and Crockett from Route 80/4 separation to 0.1 mile west of Crockett Viaduct.
QA Service Level1 (Verified on 05/10/2023)

Owner Lab

  • CT D04 - Richmond Field Laboratory

Sample Information

Sample Taken Date03/05/2024 Sample Unique Key45
Date that the sample was received by the laboratory/organization performing the testing03/05/2024 Sample typeQuality Assurance
A brief description of the sample1INCH x No.4 PCC The quantity of what the sample constitutes2 bags
From where was the sample collectedFabricator First name of sampler or witnessed byIGNACIO
Last name of sampler or witnessed byARECHIGA Title of samplerLab Technician
Telephone number of sampler5102077252 Laboratory sample identificationRich_24_014
Linked DIME Sample ID The fabricator/manufacturer/facility nameVanguard Mobile San Pablo Plant
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) Form
Structure unique identifier Structure nameBarrier
Bid ItemNot set

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)91-48-0002
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 collectedStockpile @ Plant
Where the material sample would have been placed if not sampled Primary Aggregate Nominal Size1 inch
The concrete mix design number590 MAC Lot number
Sublot number Aggregate Mix Number590 MAC

Submitted Tests

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