Sample Record
Owner Lab
- CT D04 - San Jose Construction Field Laboratory
DIME Sample ID 2024-06-20-178
Sample Details QR Code
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Project Information
| Project Identifiers | Project ID: 994366 DEA: 044J9104 EFIS: 0416000010 |
|---|---|
| DIST-CO-RTE-PM | 04-SCL-87-0.0/6.1 |
| Award Date | 04/19/2023 |
| Closeout Date | Not set |
| Work Description | Cold plane AC, paving with RHMA, upgrade median CB and curb ramp. |
| Location Description | CONSTRUCTION ON STATE HIGHWAY IN SANTA CLARA COUNTY IN SAN JOSE FROM ROUTE 85/87 SEPARATION TO 0.1 MILE NORTH OF JULIAN STREET UNDERCROSSING. |
| QA Service Level | 1 (Verified on 04/05/2023) |
Sample Information
| Sample Taken Date | 06/20/2024 | Sample Unique Key | 178 |
|---|---|---|---|
| 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 | 06/21/2024 |
| Sample type | Quality Assurance | A brief description of the sample | 1/2" RHMA-G WMA |
| The quantity of what the sample constitutes | 4 Boxes RHMA-G, 1 Cold Feed Agg. Bag | From where was the sample collected | Supplier |
| First name of sampler or witnessed by | Joseph | Last name of sampler or witnessed by | Puno |
| Title of sampler | QC | Telephone number of sampler | |
| Laboratory sample identification | SJ-062024-SA3 | Linked DIME Sample ID | |
| The fabricator/manufacturer/facility name | Martin Marietta Sunol Drier Drum Plant | Transportation Laboratory (TL) Number | C317-062024-3 |
| 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) | 91-01-0011 |
|---|---|---|---|
| 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 | Belt Stream at the Plant | |
| Where the material sample would have been placed if not sampled | Note: Lot 1 - Sublot 7, AASHTO T176 - Sand Equivalent Test. Not in compliance. | Primary Aggregate Nominal Size | 1/2 inch |
| The concrete mix design number | L220175V | Lot number | 1 |
| Sublot number | 7 | Aggregate Mix Number |
Submitted Tests
Sample File Attachments
| File Name | Extension | Date Uploaded | Actions |
|---|---|---|---|
| No results found. | |||
Test File Attachments
DIME Test ID: 2024-06-20-178-1 AASHTO T27-14 (Verified)
DIME Test ID: 2024-06-20-178-2 AASHTO T176-08 (Verified)