Sample Record for 2022-04-12-6
Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project Information
Project ID: 993169 DEA: 050A0904 EFIS: 0513000028
QA Service Level: 1
DIST-CO-RTE-PM: 05-MON-156-R1.4/R2.0
Work Description: WIDEN REINFORCED STRUCTURAL CONCRETE BRIDGE & REPLACE BRIDGE RAILING.
Location Description: MONTEREY COUNTY IN AND NEAR CASTROVILLE FROM 0.3 MILE EAST OF ROUTE 156/183 SEPARATION TO 0.2 MILE EAST OF CASTROVILLE BOULEVARD
Contractor Name: Granite Rock (Bryan Jones)
Contractor Address: 5225 Hellyer Ave, Ste 220, San Jose, CA 95138
Resident Engineer: David Hopper Structure Rep.: Dean Russu
Sample Information
DIME Sample ID: 2022-04-12-6
TL Number from the TL Form: 956403
Sample Submitted By Organization: CT D05 - Prunedale Field Laboratory
Sample Organization Contact:
Type of Sample: Preliminary
Type of Material: Aggregate
Sample Taken Date: 04/12/2022
Date that the sample was received by the laboratory/organization performing the testing:
The quantity of what the sample constitutes: 2 Bags
A brief description of the sample: Recycled CL 2 AB
From where was the sample collected: Source
Laboratory sample identification: 0412221430
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: A & S Metals
Material Information
Source Identification (SMARA, name of Pit or Job Site): NA
The fabricator's/manufacturer's product name for the sample: Recycled CL 2 AB
The fabricator/manufacturer designation for the sample:
The plant number:
A detailed description of where the material sample was collected: From back dragged pile from Loader bucket from Stockpile at source
Where the material sample would have been placed if not sampled: Roadway
Primary Aggregate Nominal Size: 3/4 inch
The concrete mix design number:
Lot number:
Sublot number:
Aggregate Mix Number:
Test Results
