Sample Record

Owner Lab

  • G3 Quality, Incorporated - Cerritos

DIME Sample ID 2024-05-29-92

Project Information

Project IdentifiersProject ID: 993825
DEA: 040Q30U4
EFIS: 0420000235
COOP: 042830A3,042830A4
DIST-CO-RTE-PM04-ALA,CC-680-R11.0/R21.9,R0.0/R0.9
Award Date11/23/2022
Closeout DateNot set
Work DescriptionPRECAST CONC PVMT, ELECTRONIC TOLL SYSTEM, JPCP, CB & STRUCTURAL CONC
Location DescriptionALAMEDA AND CONTRA COSTA COUNTIES AT SUNOL AND IN SAN RAMON BETWEEN 0.4 MILE SOUTH OF CALAVERAS ROAD UNDERCROSSING TO 0.9 MILE NORTH OF ALCOSTA BOULEVARD OVERCROSSING
QA Service Level1 (Verified on 05/11/2022)

Sample Information

Sample Taken Date05/29/2024 Sample Unique Key92
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 testing05/30/2024
Sample typeQuality Control A brief description of the sample3/4", WCS
The quantity of what the sample constitutes1 Bag From where was the sample collectedJob Site
First name of sampler or witnessed byAmy Last name of sampler or witnessed byMuela
Title of samplerQC Field Technician Telephone number of sampler
Laboratory sample identificationMix D20119EA, Set 1 Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameCentral Concrete Supply - Pleasanton Transportation Laboratory (TL) NumberUnknown
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifier00-0000
Structure name Bid ItemNot set

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)91-01-0010
The fabricator's/manufacturer's product name for the sampleSet 1 The fabricator/manufacturer designation for the sampleUnknown
The plant numberUnknown A detailed description of where the material sample was collectedBelt Cut
Where the material sample would have been placed if not sampledUnknown Primary Aggregate Nominal Size3/4 inch
The concrete mix design numberD20119EA Lot number1
Sublot number1 Aggregate Mix Number

Submitted Tests

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