Sample Record

Owner Lab

  • CT D04 - Richmond Field Laboratory

DIME Sample ID 2024-07-16-99

Project Information

Project IdentifiersProject ID: 993184
DEA: 040A7724
EFIS: 0420000288
COOP: 0422825
DIST-CO-RTE-PM04-ALA-80-6.4/6.8
Award DateNot set
Closeout DateNot set
Work DescriptionExcavation, HMA, structural concrete, minor concrete and drainage.
Location DescriptionIN BERKELEY AND ALBANY FROM 0.6 MILE NORTH OF UNIVERSITY AVENUE OVERCROSSING TO 0.3 MILE SOUTH OF EL CERRITO SEPARATION AND OVERHEAD
QA Service Level1 (Verified on 04/08/2022)

Sample Information

Sample Taken Date07/16/2024 Sample Unique Key99
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 testing07/16/2024
Sample typeQuality Assurance A brief description of the sample3/8 PCC +Sands-Orca+Elliot
The quantity of what the sample constitutes3 bags From where was the sample collectedFabricator
First name of sampler or witnessed byIGNACIO Last name of sampler or witnessed byARECHIGA
Title of samplerCT TET Telephone number of sampler5102077252
Laboratory sample identification Linked DIME Sample ID2024-07-16-83
The fabricator/manufacturer/facility nameCentral Plant -Oakland Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name Bid ItemNot set

Material Information

Material TypeAggregate Source Identification (SMARA, name of Pit or Job Site)91-01-0009
The fabricator's/manufacturer's product name for the sample3/8" PCC Mix The fabricator/manufacturer designation for the sample
The plant number A detailed description of where the material sample was collectedPlant Stockpiles
Where the material sample would have been placed if not sampledCurtain wall for under pass Primary Aggregate Nominal Size3/8 inch
The concrete mix design numberDDJ118K3 Lot number
Sublot number Aggregate Mix NumberDDJ118K3

Submitted Tests

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