*Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.

Sample Record for 2013-06-25-11356443


Project Information

Project ID: 2114 DEA: 04294914 EFIS: 0400000794 COOP: 2203A3 QA Service Level: 1
DIST-CO-RTE-PM: 04-CC,ALA-24-8.2/10.0,0.0/2.7
Work Description: CONSTRUCT A 4TH CALDECOTT TUNNEL AND BLDG
Location Description: In Alameda and Contra Costa Counties from East Temescal separation to 0.8 Km East of Gateway Blvd.
Contractor Name: Tutor-Saliba Corporation Contractor Address: 15901 Olden Street
Resident Engineer: Igor Tsigelman Structure Rep.: Strykers, Peter

Sample Information

DIME Sample ID: 2013-06-25-11356443
TL Number from the TL Form:
Sample Submitted By Organization: CT D04 - Richmond Field Laboratory
Sample Organization Contact: (510) 231-7151
Type of Sample: Acceptance
Type of Material: Aggregate
Sample Taken Date: 06/25/2013
Date that the sample was received by the laboratory/organization performing the testing:
The quantity of what the sample constitutes: 3 bags
A brief description of the sample: blended aggs
From where was the sample collected: Source
Laboratory sample identification: 999-88-77-66-1
Structure unique identifier:
Structure name:

Material Information

Source Identification (SMARA or name of Pit): 91-01-0007
The fabricator's/manufacturer's product name for the sample: Syar standard designation -123
The fabricator/manufacturer designation for the sample: number 4444
The plant number: Syar Concrete - Vallejo
A detailed description of where the material sample was collected: belt an chute
Where the material sample would have been placed if not sampled: PCC Pavement north end of Roddy Rod
Primary Aggregate Nominal Size:
The concrete mix design number:
Lot number:
Sublot number: