Sample Record for 2014-07-28-9006114
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 7780 DEA: 112T1824 EFIS: 1100020051
QA Service Level: 1
DIST-CO-RTE-PM: 11-SD-805-4.7/5.6
Work Description: REPLACE STRUCTURE AND CONSTRUCT DIRECT ACCESS RAMP (DAR).
Location Description: SAN DIEGO COUNTY IN CHULA VISTA FROM 0.4 MILE SOUTH OF EAST PALOMAR STREET OVERCROSSING TO 0.1 MILE NORTH OF NAPLES STREET UNDERCROSSING
Contractor Name: GRANITE CONSTRUCTION COMPANY
Contractor Address: 5860 El Camino Real #200, Carlsbad, CA 92008
Resident Engineer: Tom Davis Structure Rep.: Anh Ma
Sample Information
DIME Sample ID: 2014-07-28-9006114
TL Number from the TL Form: Unknown
Sample Submitted By Organization: Vulcan Materials Company - San Diego
Sample Organization Contact: (619) 572-9564
Type of Sample: Quality Control
Type of Material: Aggregate
Sample Taken Date: 07/28/2014
Date that the sample was received by the laboratory/organization performing the testing: 07/28/2014
The quantity of what the sample constitutes: 1 bag
A brief description of the sample: Washed Concrete Sand
From where was the sample collected: Source
Laboratory sample identification: Unknown
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Vulcan Mission Valley
Material Information
Source Identification (SMARA, name of Pit or Job Site): baja resources
The fabricator's/manufacturer's product name for the sample: Unknown
The fabricator/manufacturer designation for the sample: Unknown
The plant number: Unknown
A detailed description of where the material sample was collected: conveyor belt
Where the material sample would have been placed if not sampled: Unknown
Primary Aggregate Nominal Size:
The concrete mix design number:
Lot number:
Sublot number:
Aggregate Mix Number:
Test Results
