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Sample Record for 2019-10-25-20

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

Project Information

Project ID: 210617 DEA: 042J1004 EFIS: 0414000426 COOP: 042549 QA Service Level: 1
DIST-CO-RTE-PM: 04-NAP-29-11.3/11.6
Work Description: CONSTRUCT TWO SEPARATE ROUNDABOUT PROJECTS TOGETHER INTO ONE SINGLE PROJECT AND CONSTRUCTION CONTRACT.
Location Description: AT THE INTERSECTIONS OF FIRST STREET/ CALIFORNIA BLVD AND SECOND STREET/CALIFORNIA BLVD (CITY) AND AT HE STATE ROUTE 29 NORTHBOUND ON AND OFF RAMPS AND FIRST STREET ( CALTRANS)
Contractor Name: O.C. JONES & SONS, INC.
Contractor Address: 1520 4th Street, Berkeley, CA 94710
Resident Engineer: Danilo Patenia Structure Rep.: Mohammad Nasim

Sample Information

DIME Sample ID: 2019-10-25-20
TL Number from the TL Form: NA
Sample Submitted By Organization: CT D04 - Concord Field Laboratory
Sample Organization Contact: (510) 714-7019
Type of Sample: Acceptance
Type of Material: Soil
Sample Taken Date: 10/25/2019
Date that the sample was received by the laboratory/organization performing the testing: 10/25/2019
The quantity of what the sample constitutes: 2 bags
A brief description of the sample: Native Structure Backfill Material
From where was the sample collected: Job Site
Laboratory sample identification: Con_19_689
Structure unique identifier: 28-Napa
Structure name: Jim Adair
The fabricator/manufacturer/facility name: OC Jones

Material Information

The fabricator's/manufacturer's product name for the sample: Structure Backfill
The fabricator/manufacturer designation for the sample: NA
A detailed description of where the material sample was collected: Job Site Windrow
Where the material sample would have been placed if not sampled: Stockfile

Test Results