Sample Record for 2020-07-27-38
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 211848 DEA: 112T2174 EFIS: 1116000131
QA Service Level: 1
DIST-CO-RTE-PM: 11-SD-5-R37.4 - R46.5
Work Description: (Alternative Delivery) CMGC, San Elijo Highway Bridge Replacement. Replace the San Elijo lagoon highway bridge, construct HOV lanes, construct bike and pedestrian trails and bridge, build multi-use facility at Manchester Ave.
Location Description: IN SAN DIEGO COUNTY IN SOLANA BEACH AND ENCINITAS FROM 0.1 MILE NORTH OF LOMAS SANTA FE DRIVE OVERCROSSING TO 0.2 MILE SOUTH OF BIRMINGHAM DRIVE OVERCROSSING
Contractor Name: Flatiron-Skanska-Stacy and Witbeck, a Joint Venture
Contractor Address: 1770 La Costa Meadows Drive, San Marcos, CA 92078
Resident Engineer: Steve McMillan Structure Rep.: Phong Le
Sample Information
DIME Sample ID: 2020-07-27-38
TL Number from the TL Form:
Sample Submitted By Organization: SCST, LLC
Sample Organization Contact: (619) 280-4321
Type of Sample: Aggregate Prequalification Program
Type of Material: Aggregate
Sample Taken Date: 07/27/2020
Date that the sample was received by the laboratory/organization performing the testing: 07/27/2020
The quantity of what the sample constitutes: 5000 tons
A brief description of the sample: 1"
From where was the sample collected: Manufacturer
Laboratory sample identification: 56011
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Robertsons Rialto
Material Information
Source Identification (SMARA, name of Pit or Job Site): 91-36-0146
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: Conveyor Belt
Where the material sample would have been placed if not sampled:
Primary Aggregate Nominal Size: 1 inch
The concrete mix design number:
Lot number:
Sublot number:
Aggregate Mix Number:
Test Results
